Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . A single - lead left - sided AICD is seen with lead extending into the expected position of the right ventricle . The lungs are relatively hyperinflated , with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . The left lung is clear . Likely old right - sided rib fractures are seen , including posterolateral seventh and ninth ribs . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are unremarkable . There is mild right greater than left biapical pleural thickening .
    OUTPUT:
    
No definite acute cardiopulmonary process . Please note that CT is more sensitive in detecting pulmonary nodules .