Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Patient is status post median sternotomy . Pacemaker is noted overlying the left chest with leads terminating in the right ventricle . Mild cardiomegaly is unchanged . Moderate volume loss on the right is unchanged . A moderate pleural effusion on the right and a small pleural effusion on the left are unchanged . Focal consolidations are seen in the left retrocardiac area , the right upper , middle and lower lobes , which appear unchanged . Imaged osseous structures are intact .
    OUTPUT:
    
1 . Focal consolidations in the left retrocardiac area , the right upper , middle and lower lobes appear unchanged . 2 . A moderate pleural effusion on the right and a small pleural effusion on the left are unchanged . 3 . Mild cardiomegaly is unchanged .