Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is stable . Pacemaker leads are in standard position in the right atrium and right ventricle . There is no pneumothorax . Small to moderate bilateral effusions larger on the right associated with adjacent atelectasis are unchanged . There are mild degenerative changes in the thoracic spine . Right upper lobe anterior irregular opacities are better seen in prior CT
    OUTPUT:
    
No acute cardiopulmonary abnormalities stable bilateral effusions