Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead left - sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle . There is slight blunting of the right posterior costophrenic angle which may be due to hyperinflation and pleural thickening although trace pleural effusion is not excluded . The aorta is tortuous and calcified . Cardiac silhouette is top normal to mildly enlarged . No overt pulmonary edema is seen . There is biapical pleural thickening . The bilateral humeral heads are high riding , which can be seen in rotator cuff disease . Old right - sided rib fractures are seen . Degenerative changes are seen along the spine . There is severe compression of a lower thoracic vertebral body / vertebral body at the thoracolumbar junction of indeterminate age , given lack of prior studies for comparison .
    OUTPUT:
    
1 . Severe compression of lower thoracic vertebral body / vertebral body at the thoracolumbar junction of indeterminate age , given lack of priors for comparison . 2 . Tortuous aorta . No definite focal consolidation .