Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual chamber pacer leads and a prosthetic mitral valve are in stable position . Sternotomy wires are unchanged in position and intact . Again seen is a moderate right pleural effusion with layering along the costal pleura and within the major fissure , which are unchanged from ___ . There is no effusion seen on the left . Mild cardiomegaly is stable from the prior . There is no evidence of pneumothorax .
    OUTPUT:
    
Stable moderate loculated right pleural effusion and mild cardiomegaly . No significant change .