Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Continued loculated pleural effusions are seen bilaterally , which are unchanged in size . An air - fluid level may be seen on the lateral chest radiograph view . Right upper lobe pneumonia is improving but continued opacification is seen . Left cardiac pacemaker is in stable position with leads ending appropriately in the right atrium and right ventricle . The cardiac silhouette is normal .
    OUTPUT:
    
No significant change in loculated bilateral pleural effusions . Interval improvement in right upper lobe pneumonia .