Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . Dual - lead left - sided pacemaker is again seen , unchanged in position , with leads extending to the expected positions of the right atrium and right ventricle . There are relatively low lung volumes . Slight prominence of the hila is without significant change and may relate to pulmonary vascular engorgement . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . Evidence of DISH is seen along the spine . The cardiac silhouette remains mildly enlarged . The aorta is calcified .
    OUTPUT:
    
Low lung volumes with possible minimal central pulmonary vascular engorgement .