Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacemaker is seen with lead extending to the expected positions of the right atrium and right ventricle . The lungs are relatively hyperinflated with flattening of the diaphragms suggesting chronic obstructive pulmonary disease . Mild basilar atelectasis is seen without definite focal consolidation . The cardiac silhouette is top - normal . The aorta is slightly tortuous . No overt pulmonary edema is seen . The bones are osteopenic .
    OUTPUT:
    
COPD . No definite acute cardiopulmonary process .