Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pacemaker - like device projects over the left pectoral region with lead tip in right atrial appendage , right ventricle and lead entering coronary sinus into the left ventricle . Sternotomy wires are intact . LVAD is unchanged in position . Right lung is clear without pleural effusion . No pneumothorax . Interval increase in mild left lower lobe atelectasis and pleural effusion with small left loculated effusion . Stable moderate cardiomegaly with normal mediastinal contour and hila . No bony abnormality .
    OUTPUT:
    
1 . Mild interval increase in left lower lobe atelectasis and left pleural effusion . 2 . Small loculated left pleural effusion .