Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded . There is no pulmonary opacity or mass . Trace bilateral pleural effusions are seen . The left ventricle and left atrium are enlarged and a pacer with intact leads is noted , findings which are consistent with chronic heart failure . There is no pulmonary edema or other evidence of acute heart failure . Trace bilateral pleural effusions are seen . The right pulmonary artery is enlarged , suggestive of pulmonary hypertension . Calcifications are seen in the aortic arch . The aorta is noted to be tortuous .
    OUTPUT:
    
1 . No evidence of pneumonia or pulmonary edema . No acute cardiopulmonary process . 2 . Enlarged left ventricle and left atrium , consistent with chronic heart failure . 3 . Enlarged right pulmonary artery , suggestive of pulmonary hypertension .