Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right transjugular hemodialysis catheter tip again is noted to extend to the right atrium . A left chest wall dual lead pacemaker is present . Interval improvement in the pulmonary edema and aeration of the left lower lobe . There is a moderate right pleural effusion , increased since prior . No pneumothorax . The size of the cardiac silhouette is enlarged but unchanged . Unchanged mild compression deformity of a lower thoracic vertebral body , present since at least the CT scan of the chest dated ___ .
    OUTPUT:
    
Decreased pulmonary edema with improved aeration at the left lung base . Moderate right pleural effusion , increased since prior .