Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker is noted with leads terminating in right atrium and right ventricle . Cardiac silhouette size is normal . The aorta remains tortuous . There is perihilar haziness with vascular indistinctness compatible with mild pulmonary edema . No pleural effusion or pneumothorax is seen . Lungs are hyperinflated compatible with underlying emphysema . Multiple old left - sided rib fractures are noted .
    OUTPUT:
    
Mild pulmonary edema . Emphysema .