Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pneumothorax . A right - sided pacemaker remains in place . Bilateral upper lobe fiducial markers associated with irregularly shaped opacities correspond to treated lesions . No new opacities or consolidations are identified . Moderate cardiomegaly is unchanged . There is a small right pleural effusion . Generalized osteopenia and multilevel thoracic spine compression deformities are unchanged .
    OUTPUT:
    
Status post right thoracentesis with no pneumothorax . Small right pleural effusion . Stable moderate cardiomegaly . Bilateral upper lobe opacities correspond to lesions treated with Cyberknife therapy .