Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The dual - lead pacemaker is unchanged with leads following their expected courses . Lung is better inflated with reduced vascular congestion . The bilateral pleural effusion is reduced , especially at the right base . Heart size is still markedly enlarged with aortosclerosis . There are some calcified mediastinal lymph nodes as for granuloma exposure .
    OUTPUT:
    
Pulmonary edema is reduced with reduced pleural effusion , especially in the right base . Unchanged the aortosclerosis and cardiomegaly .