Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Left chest wall pacer AICD noted with single pacer lead extending into the region of the right ventricle . Clips in the left axilla noted . There is sternal plate and screw fixation . Low lung volumes limits assessment . No focal consolidation concerning for pneumonia . No large effusion or pneumothorax . Mild edema difficult to exclude . The heart and mediastinal contours appear unchanged . Atherosclerotic calcification at the aortic knob noted . Degenerative changes at the shoulders are unchanged .
    OUTPUT:
    
Possible mild congestion . No convincing evidence for pneumonia .