Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of a right - sided single lead stem for a pacemaker with placement of a purged permanent dual lead pacemaker on the left side . Lead position appears appropriate on this single AP view . A vascular stent is seen at the expected location of the aortic valve . No pneumothorax , consolidation or pleural effusion . Prominent reticular opacities in bilateral lower lobe distribution , unchanged compared to the prior coronary CT and likely reflecting fluid overload .
    OUTPUT:
    
Interval placement of a left - sided pacemaker .