Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 lead left - sided pacemaker stable in position . There are relatively low lung volumes . No definite focal consolidation is seen . There is no large pleural effusion or pneumothorax . The cardiac silhouette is mildly enlarged , likely accentuated by low lung volumes and AP technique .
    OUTPUT:
    
Low lung volumes without focal consolidation to suggest pneumonia .