Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were performed ( 4 exposures ) . A right side pacer / ICD is noted with leads terminating in the right atrium and right ventricle . The lung volumes are low . There is no pleural effusion or pneumothorax . The cardiac silhouette remains moderately enlarged . The pulmonary vasculature remains engorged without overt pulmonary edema . The mediastinal contours are normal . A compression deformity of a lower thoracic vertebra is unchanged .
    OUTPUT:
    
No acute cardiopulmonary process .