Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate intact sternal wires and a left chest wall pacer device with leads overlying the right atrium and ventricle . Lung volumes are slightly low , with exaggeration of the cardiac silhouette . Allowing for this , the heart is top - normal in size . Scattered bilateral opacities are similar in distribution compared to prior exams , and likely related to extensive calcified pleural plaque as seen on CT from ___ . No focal consolidation , pleural effusion , or pneumothorax is seen . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
No acute cardiopulmonary process .