Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall dual lead pacing device is seen with lead tips in the right atrium and right ventricle . Streaky bibasilar opacities are potentially secondary to atelectasis or scarring . There is no consolidation or effusion . The cardiac silhouette is moderately enlarged . Atherosclerotic calcifications are noted at the aortic arch . Degenerative changes identified at the right shoulder . Mid to lower thoracic vertebral body height loss is age indeterminate .
    OUTPUT:
    
Cardiomegaly and likely chronic changes in the lungs . Mid to lower thoracic vertebral body height loss is age indeterminate .