Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest was obtained . A dual - lead left - sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle . There are overlying left - sided pleural plaques . Blunting of the left costophrenic angle is again seen , which most likely relates to pleural thickening / pleural fat as seen on prior CT from ___ ; however , trace pleural effusion is difficult to exclude . No definite focal consolidation is seen . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
Overall , stable appearance of the chest .