Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD / pacemaker seen device is noted with leads terminating in right atrium and right ventricle . Cardiac silhouette size is mildly enlarged with a left ventricular predominance . The aorta is tortuous and demonstrates diffuse atherosclerotic calcifications . Lung volumes are low . Pulmonary vascularity is within normal limits without evidence of pulmonary edema . No focal consolidation , pleural effusion or pneumothorax is present . Widening of the right paratracheal stripe is likely related to low lung volumes . There are no acute osseous abnormalities . Mild deformity of the mid shaft of the left clavicle may suggest a remote healed fracture . No free air is noted under the diaphragms .
    OUTPUT:
    
No acute cardiopulmonary process . Low lung volumes .