Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stable , small - moderate right pleural effusion . A left pleural effusion is unchanged . Otherwise , the lungs are grossly clear . Moderate - severe cardiomegaly is unchanged . The aortic arch is heavily calcified , and deviates the trachea to the right to a stable degree . Left pectoral pacemaker is noted with a single intact lead in unchanged position . Dextroscoliosis is noted centered in the thoracic spine .
    OUTPUT:
    
Stable , bilateral , small pleural effusions and cardiomegaly . No relevant interval change .