Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is again seen in stable position left upper chest device with associated dual leads in unchanged position . At the superior aspect of film , there is evidence of prior known left - sided subcutaneous air in the soft tissues of the neck . There is no evidence of pneumomediastinum . There is no pneumothorax seen . There is again seen evidence of left - sided pleural plaque , unchanged in appearance . There are multiple areas of platelike atelectasis in the right lower and left lower lung , increased in comparison to prior study . Otherwise , there are no new focal lung consolidations .
    OUTPUT:
    
1 . No evidence of pneumomediastinum or pneumothorax . 2 . Increased areas of platelike atelectasis bilateral lower lung zones . Otherwise stable chest x-ray .