Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is stable appearance of left upper chest device with associated dual leads in unchanged position . The cardiomediastinal silhouettes are unchanged in appearance . There is again seen a calcified thoracic aorta . There is stable appearance of right greater than left biapical pleural scarring . There is a diffuse reticulonodular interstitial pattern in the upper lungs ( right greater than left ) which is unchanged in comparison to prior radiograph . There are no new focal lung consolidations . There is no evidence of pulmonary vascular congestion or pulmonary edema . Again seen are unchanged bilateral loculated pleural effusions . There is no evidence of pneumothorax .
    OUTPUT:
    
1 . No evidence of pulmonary pulmonary edema . 2 . Stable large bilateral loculated pleural effusions and nonspecific parenchymal scarring / fibrosis .