Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single upright portable view of the chest demonstrates a dual - lead pacemaker with leads terminating in the right atrium and right ventricle and a left - sided port with tip terminating at the cavoatrial junction , both inferiorly displaced by a left neck mass , possibly a goiter . The lung volumes are low , and there is perihilar haziness and thickening along the minor fissure , consistent with pulmonary edema due to heart failure . An underlying infectious process can not be completely excluded , particularly given the appearance of a ringed opacity in the right lower lobe , which could represent a cavitary lesion . The heart is enlarged . No pneumothorax is present .
    OUTPUT:
    
1 . Findings consistent with pulmonary edema and heart failure . 2 . Underlying infection can not be excluded , with possible cavitary lesion in the right lower lung . 3 . Left - sided neck mass , possibly a goiter . 4 . Given these findings , a non-contrast CT scan of the chest is recommend for further characterization . The above findings were discussed with Dr . ___ by Dr . ___ ___ telephone a 08 :00 , ___ min after discovery .