Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . Moderate to severe cardiomegaly is stable . Dual - channel pacer device in place . The aorta is tortuous . No definite vascular congestion or acute pneumonia . Pleural thickening is again seen along the right lateral chest wall . There is no pleural effusion . Degenerative changes in the thoracic spine
    OUTPUT:
    
No acute cardiopulmonary abnormalities