Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires are intact . Dual - chamber pacemaker projects over the left pectoral region with lead tip in right atrium and right ventricle . Vascular clips noted in the thoracic outlet . Low lung volumes exaggerate the heart size . Tortuous non-dilated aorta . Possible small right apical pneumothorax . No pleural effusion , pulmonary edema , or new focal opacity . No bony abnormality .
    OUTPUT:
    
1 . Low lung volumes . 2 . Possible small right apical pneumothorax . If right sided intervention attempted then pneumothorax may be concern , otherwise may represent normal pleura . Wet read was conveyed to Dr . ___ at 5 :30 p .m . on ___ .