Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided Port - A - Cath tip terminates in the SVC . Right - sided dual - lumen pacemaker device is again noted with leads terminating in the regions of the right atrium and right ventricle . Moderate cardiomegaly has decreased in size compared to the prior study . Similarly , widening of the mediastinal contour has also improved , with continued but improved mild to moderate pulmonary edema . Moderate , multiloculated left pleural effusion has slightly decreased in size with unchanged trace right pleural effusion . Thickened irregular pleural thickening is also noted bilaterally , as seen previously . Patchy left basilar opacity likely reflects compressive atelectasis , however infection can not be completely excluded . No pneumothorax is present . Compression deformities within the lower thoracic spine with associated kyphosis are unchanged .
    OUTPUT:
    
Persistent moderate multiloculated left pleural effusion , but decreased in size from the previous study . Unchanged small right pleural effusion and diffuse irregular pleural thickening . Interval improvement in pulmonary edema , now mild to moderate in extent . Left basilar patchy opacity may reflect compressive atelectasis however infection is difficult to exclude in the correct clinical setting .