Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall pacer device is noted with leads extending to the region the right atrium and right ventricle . The heart appears moderately enlarged . Lungs are hyperinflated . No focal consolidation , effusion or pneumothorax . No overt signs of edema . The pulmonary hila appear minimally prominent , correlate for mild congestion . Aortic calcification is again noted . Bony structures are intact . Clips in the right upper quadrant are present . No free air below the right hemidiaphragm .
    OUTPUT:
    
1 . Moderate cardiomegaly with probable mild hilar congestion . 2 . Hyperinflated lungs likely reflect COPD .