Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a pacemaker overlying the left upper chest with the wires terminating in the right atrium and right ventricle , which appears unchanged in comparison to the prior radiograph . There is a Dobhoff tube , which terminates in the stomach . There are mitral valve clips and other surgical clips noted in the upper abdomen . In comparison to the prior chest radiograph , the pulmonary vascular congestion has improved . The bilateral pleural effusions have also improved with better visualization of the right hemidiaphragm . Stable enlargement of the cardiac silhouette . The mediastinal and hilar contours are stable . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Dobhoff in appropriate positioning . 2 . Improving perihilar edema and bilateral effusions .