Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are compared to previous exam from ___ . Dual - lead pacing device is again seen with lead tips in stable position . Right upper lobe / suprahilar opacity with fiducial marker is again seen , not significantly changed from exam from two weeks prior . Left side pleural effusion which is seen with loculation posteriorly . There is mild pulmonary vascular congestion without frank pulmonary edema . Free air seen below the right hemidiaphragm is compatible with daily peritoneal dialysis . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
Mild pulmonary vascular congestion without evidence of overt pulmonary edema . At least partially loculated left - sided pleural effusion with possible adjacent atelectasis . Free air below the diaphragm compatible with peritoneal dialysis . Right suprahilar mass as above .