Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall pacer is seen with leads extending to the region the right atrium and right ventricle . Midline sternotomy wires are noted . Extensive calcified pleural plaque as seen on prior CT accounts for the scattered opacities projecting over both lungs . Given this , a subtle nodule or consolidation is difficult to exclude though none is clearly seen . No large effusion or pneumothorax . The heart is top - normal in size . Mediastinal contour is normal . Bony structures appear intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
1 . Extensive calcified pleural plaque likely the sequelae of prior asbestos exposure . 2 . Top normal heart size . 3 . No convincing pneumonia or CHF .