Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead right chest wall pacemaker is in stable position . Median sternotomy wires appear intact . Surgical clips project over the mediastinum . Right internal jugular hemodialysis catheter terminates in the right atrium . Mild cardiomegaly is unchanged . The mediastinal and hilar contours are normal . Small bilateral pleural effusions are redistributed with the patient upright and likely not significantly changed since the prior study . There is no evidence of pneumonia . There is no pneumothorax .
    OUTPUT:
    
No evidence of pneumonia . Small bilateral pleural effusions are redistributed but not significantly changed overall .