Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker device is re - demonstrated with leads terminating in the right atrium and right ventricle . Mild enlargement of the cardiac silhouette is unchanged . The aorta is diffusely calcified . Mediastinal and hilar contours are similar . There is no pulmonary edema . Minimal atelectasis is noted in the lung bases without focal consolidation . No pleural effusion or pneumothorax is identified . No acute osseous abnormality is present .
    OUTPUT:
    
No focal consolidation to suggest pneumonia .