Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs demonstrate a left chest pacer defibrillator , its leads appear intact and in unchanged position relative to prior study . There is mild cardiomegaly without pulmonary edema . Lungs are hyperinflated without opacity convincing for pneumonia . Calcified pleural plaques are visualized as punctate calcific densities over the bilateral lungs . Surgical chain sutures seen in the right upper lung medially . Blunting of the right costophrenic angle is consistent with a small pleural effusion . There is no pneumothorax . No air under the right hemidiaphragm .
    OUTPUT:
    
No evidence of pneumonia . Small right pleural effusion .