Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The femoral temporary pacer lead appears to be malpositioned with an indeterminate location . A possible location could be within the pulmonary outflow tract . The lungs are hyperinflated with paucity of the pulmonary vasculature , particularly in the upper lobes suggestive of underlying emphysema . The cardiomediastinal and hilar contours are normal . The pleural surfaces are normal . .
    OUTPUT:
    
1 . Temporary pacer lead malposition . 2 . Hyperinflation and paucity of pulmonary vasculature suggestive of underlying emphysema .