Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new dual lead pacemaker / ICD device has been placed . It s leads terminate in the right atrium and ventricle , respectively . There is no pneumothorax . As before , there is similar mild relative elevation of the right hemidiaphragm . There is noted definite pleural effusion . There is again mild to moderate pulmonary edema . The cardiac , mediastinal and hilar contours appear stable .
    OUTPUT:
    
Status post pacemaker placement ; no pneumothorax .