Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is severely rotated to the right , leading to unfolding of the mediastinum . Allowing for differences in patient positioning , there has been no significant change as compared to the prior examination . A dual lead pacemaker is noted with leads terminating in the right atrium and right ventricle , respectively . The lung volumes remain low , resulting in the appearance of pulmonary edema . Bibasilar atelectasis and a small right pleural effusion are present . There is no evidence of pneumonia or pneumothorax .
    OUTPUT:
    
Limited examination secondary to patient rotation . Low lung volumes resulting the appearance pulmonary edema . Small right pleural effusion .