Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding portable single view chest examination of ___ . Previously described marked cardiac enlargement , permanent pacer with ICD line , and atrial electrode as well as a right - sided electrode , probably abandoned , remain unchanged . The on previous examination still present right pleural tube with typical pigtail end has been removed . The at that time existing small basal loculated pneumothorax at the catheter entrance has now filled in with some pleural effusion . The amount is small and does not compromise significantly the pulmonary volume . The right lung remains well aerated . There is no evidence of new pulmonary infiltrates or significant pulmonary congestion . On the lateral view which was included in today 's examination , one can only identify very small pleural effusions blunting the ultimate sinuses posteriorly . This view also illustrates well the rather demineralized vertebral column of the thoracic spine with accentuated kyphosis and multiple moderately depressed vertebral bodies .
    OUTPUT:
    
Stable chest findings , marked cardiomegaly but absence of acute pulmonary congestion or edema . The amount of bilateral pleural effusions is rather small . No pneumothorax residual is present .