Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is enlarged . The pulmonary vasculature is unremarkable . There is a persistent left pleural effusion . The no radiographic evidence of amiodarone toxicity is noted . The lungs are clear . A 2 lead pacemaker / a CT is noted , in stable position . A left ventricular assist device is also noted , also in stable position .
    OUTPUT:
    
1 . Left - sided pleural effusion . 2 . No pulmonary edema or consolidation .