Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Previous median sternotomy noted . A dual lead pacemaker is in - situ , unchanged in appearance . A right internal jugular catheter terminates in the proximal SVC . There are bilateral pleural effusions , N there appears to be in a slight increase in the right - sided pleural effusion . Calcified pleural plaques are again noted . There is mild prominence of the pulmonary vasculature consistent with mild congestive heart failure but no frank pulmonary edema . Left lower lobe atelectasis . No pneumothorax seen .
    OUTPUT:
    
No significant interval change when compared to the prior study .