Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no interval change in the appearance of the chest since the earlier study from today . Again seen is a pacemaker in the left chest wall with a single lead terminating in the region of the right ventricle . There are bibasilar opacities , right greater than left , representing layering pleural fluid and / or atelectasis . The heart remains markedly enlarged . The mediastinal and hilar contours are unchanged . No pneumothorax is seen . The bilateral humeral heads are high - riding , and there are degenerative changes of the bilateral glenohumeral and acromioclavicular joints . Surgical clips project over the left upper abdomen .
    OUTPUT:
    
No interval change the appearance of the chest since the earlier study from today . Redemonstration of bibasilar opacities , right greater the left , representing layering pleural fluid and / or atelectasis . No pneumothorax . This preliminary report was reviewed with Dr . ___ , ___ radiologist .