Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacer device is seen with leads extending to the expected positions of the right atrium and right ventricle . There is slight blunting of the bilateral posterior costophrenic angles may be due to hyperinflation pleural thickening versus trace pleural effusions . No pneumothorax is seen . The aorta is tortuous . The cardiac silhouette is top - normal to mildly enlarged . No overt pulmonary edema is seen .
    OUTPUT:
    
Slight blunting of the bilateral posterior costophrenic angles may be related to hyperinflation , pleural thickening , versus trace pleural effusions . Otherwise , no focal consolidation .