Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right IJ catheter terminates in the upper SVC . Left pectoral pacemaker with leads terminating in the right atrium and right ventricle . Unchanged , bilateral pleural effusions with underlying atelectasis , left greater than right . Normal mediastinal and hilar contours . Normal heart size . No pneumothorax .
    OUTPUT:
    
Standard pacemaker lead placement . Unchanged , bilateral pleural effusions with underlying atelectasis , left greater than right .