Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right chest wall pacemaker now a dual lead pacemaker with the leads in the expected location of the right ventricle and coronary sinus . There is a new moderate right pleural effusion . The heart remains mildly enlarged . No pneumothorax or left pleural effusion .
    OUTPUT:
    
1 . Dual lead pacemaker with leads in expected location of right ventricle and coronary sinus 2 . New moderate right pleural effusion 3 . No pneumothorax