Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacer device is stable in position . The cardiac and mediastinal silhouettes are stable . There relatively low lung volumes . Minimal pulmonary vascular congestion may persist although likely exaggerated by low lung volumes . No new focal consolidation is seen . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
No significant interval change from ___ .