Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single lead ICD with lead tip in situ in the right ventricle . Post CABG changes . Transverse cardiomegaly . Mild distention of the upper lobe pulmonary vessels suggests either fluid overload or early cardiac decompensation . Bilateral pleural effusions ( left larger than right ) best seen on the lateral view . No left sided pneumothorax . The previously noted consolidation seen in the posterior basilar aspect of the left lower lobe is not clearly visualized on today 's study , but may be obscured by the effusion . No subdiaphragmatic free air .
    OUTPUT:
    
Single lead ICD with the lead tip in situ in the right ventricle . No left - sided pneumothorax . Bilateral pleural effusions left larger than right .