Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead left - sided pacer device is again seen with leads unchanged in position , extending to the expected positions of the right atrium and ventricle . There are relatively low lung volumes . Again seen is thickening of the right pleural margin along the mid-to - lower hemithorax . No focal consolidation is seen . There is no large pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
Again seen thickening of the lateral right costal pleural margin . No evidence of large pleural effusion seen on the lateral view .