Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral radiographs were provided . There is no focal consolidation or pneumothorax . There are small bilateral pleural effusions , unchanged from the prior radiograph . Cardiomediastinal silhouette is unchanged and notable for a tortuous aorta . A left chest wall pacemaker with leads in the right atrium and right ventricle are present . The osseous structures are intact .
    OUTPUT:
    
No focal consolidation . Small bilateral pleural effusions unchanged from prior radiograph .