Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pacemaker / ICD device with two leads appears unchanged . The cardiac , mediastinal and hilar contours appear unchanged . The pacer device overlaps persistent opacification of the left costophrenic angle that is probably unchanged , however , likely reflecting a combination of atelectasis and a small loculated pleural effusion . There is persistent thickening of the minor fissure with possible fluid and atelectasis with a small right - sided pleural effusion . Nodular suprahilar opacification on the right is associated with treated malignancy with an associated fiducial seed and appears stable . There is no pneumothorax . Free air is no longer apparent on this study .
    OUTPUT:
    
Findings suggesting mild fluid overload including pleural effusions , but no definite superimposed process .