Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided cardiac pacemaker projecting leads into the right atrium and ventricle , right IJ catheter terminating at the cavoatrial junction , and the kyphoplasty cement are unchanged in configuration and positioning since the ___ examination . Mild cardiomegaly with central pulmonary vascular congestion and pulmonary edema is stable . A left retrocardiac opacity , likely reflecting atelectasis , is unchanged . Small bilateral pleural effusions are stable . There is no pneumothorax .
    OUTPUT:
    
Unchanged mild central pulmonary vascular congestion and pulmonary edema since ___ . Stable small bilateral pleural effusions .