Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hypoinflated with right lower lobe atelectasis . Small left pleural effusion noted . No pneumothorax . Heart is top - normal in size which is likely accentuated due to patient positioning and low lung volumes . Atherosclerotic calcification of the aortic arch is again noted . Mediastinal contour and hila are unremarkable . Left chest wall pacer device lead tips are in the right atrium and right ventricle .
    OUTPUT:
    
1 . Hypoinflated lungs with right lower lobe atelectasis . 2 . Small left pleural effusion .