Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker device leads terminate in the right atrium and right ventricle . Patient is status post median sternotomy and CABG . Esophageal stent appears in unchanged position . Heart size is normal . Coronary artery stent is re - demonstrated . Mediastinal and hilar contours are within normal limits . Lungs are clear . Pulmonary vasculature is normal . Small to moderate size right pleural effusion is unchanged , and the size of the small left pleural effusion is slightly increased . No pneumothorax is present . No acute osseous abnormalities detected .
    OUTPUT:
    
Similar appearance of small to moderate size right pleural effusion , and increased size of small left pleural effusion .