Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left - sided pacemaker with leads in appropriate position . Cardiomediastinal and hilar contours are normal . There is scoliosis of the spine . Decrease in previously seen vascular congestion and mild interstitial edema . No evidence of pulmonary edema . There are trace bilateral pleural effusions . No focal consolidation . No pneumothorax .
    OUTPUT:
    
Pacemaker leads in appropriate position . Trace bilateral pleural effusions .