Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Lungs are hyperinflated with flattening of the diaphragms suggesting chronic obstructive pulmonary disease . There is blunting of the right costophrenic angle worrisome for small right pleural effusion . There may be a trace left pleural effusion . There is no pneumothorax . No definite focal consolidation . The cardiac silhouette is mildly enlarged . The aorta is calcified and tortuous . Patient is status post median sternotomy . A single - lead right - sided pacemaker is seen with lead extending to the expected position of the right ventricle . No displaced fracture is seen .
    OUTPUT:
    
Enlarged cardiac silhouette . Small right pleural effusion and possible trace left pleural effusion .