Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ICD pacing device is in place with leads terminating in the regions of the right atrium and right ventricle . Heart is upper limits of normal in size , and the aorta is tortuous . Pulmonary vascularity is within normal limits . Coarse reticular opacities are present at the right lung base and raise the concern for chronic scarring or fibrosis in this region . Left base is not well visualized due to slight rotation of the patient and overlying cardiac structures . No confluent areas of consolidation are evident to suggest the presence of pneumonia . Healed right rib fractures are incidentally noted .
    OUTPUT:
    
1 . No evidence of pneumonia . 2 . Possible chronic lung disease at the right lung base . Dedicated PA and lateral chest radiographs may be helpful for initial further evaluation when the patient 's condition permits .