Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left pectoral pacemaker leads through the left transvenous approach terminates into the right atrium and right ventricle respectively . There is no evidence to suggest pneumonia Since ___ , pulmonary vascular congestion and bilateral minimal pleural effusions have decreased ; however , there is a persisting pleural fluid within the fissure which might indicate continued presence of cardiac decompensation . The enlarged heart size , mediastinal and hilar contours are stable .
    OUTPUT:
    
No pnemonia . Since ___ , minimal bilateral pleural effusions and pulmonary vascular congestions have improved ; however , presence of minimal fissural fluid may indicate an ongoing cardiac decompensation . Dr .___ ___ findings with Dr . ___ by phone on ___ at 1 : 15 p .m .