Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left - sided pacer / ICD leads are unchanged in position since the prior study . Lung volumes are low causing bronchovascular crowding . There is minimal pulmonary vascular congestion . No focal consolidation , large pleural effusion , or pneumothorax . The cardiac silhouette is unchanged .
    OUTPUT:
    
Minimal pulmonary vascular congestion . No focal consolidation concerning for pneumonia .