Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided dual chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle . Heart size remains mildly enlarged . Dense atherosclerotic calcifications are noted at the aortic knob . Lung volumes are persistently low . Coarse interstitial opacities are seen diffusely along with bronchiectasis , compatible with a chronic interstitial lung disease . No pulmonary edema , new focal consolidation , pleural effusion or pneumothorax is present . No acute osseous abnormalities detected . Degenerative changes are noted involving both glenohumeral joints as well as within the thoracic spine .
    OUTPUT:
    
No substantial interval change from prior study . Low lung volumes with re - demonstration of chronic interstitial lung disease .