Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette appears moderately enlarged but stable compared to prior study . Two lead left - sided pacemaker appears in place . There is trace residual left pleural effusion , improved from prior , with adjacent atelectasis . Previously visualized right trace pleural effusion is resolved .
    OUTPUT:
    
Cardiomegaly with trace residual left pleural effusion .