Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The newly placed left pectoral coli pacemaker appears intact and in satisfactory position with 1 lead in the right atrium and the other in the right ventricle . The lungs are well - expanded . A small left pleural effusion is new . No pneumothorax or pneumomediastinum . The cardiomediastinal silhouette is unchanged . Aortic knob moderate calcifications are also unchanged . No focal consolidation or edema . There is moderate levoconvex scoliosis of the visualized thoracolumbar spine . Surgical clips project over the right upper abdomen . Degenerative changes at multiple levels in the thoracic spine are similar to the prior exam .
    OUTPUT:
    
1 . Satisfactory placement of the dual lead left pacemaker device . 2 . New small left pleural effusion . 3 . No pneumothorax or pneumomediastinum .