Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a right - sided pacer with distal aspect coiling in the region of the right ventricle . The cardiac and mediastinal silhouettes are stable with the cardiac silhouette moderate to markedly enlarged . There is prominence of the hila suggesting pulmonary vascular engorgement without overt pulmonary edema . No large pleural effusion is seen , although the right costophrenic angle is not fully included on the image . No new focal consolidation . No pneumothorax .
    OUTPUT:
    
Interval placement of right - sided pacer coiling in the region of the right ventricle . Suggest repositioning .