Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a left - sided pacemaker with the leads ending in the right ventricle . Again seen is cardiomegaly , stable compared to the prior exam . Otherwise , the mediastinal and hilar contours are normal . There are stable small bilateral pleural effusions . There is no pneumothorax . No new focal consolidations .
    OUTPUT:
    
No acute abnormalities identified to explain patient 's cough .