Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant change since previous exam . Right PICC line ends in mid SVC . Left - sided pacemaker has leads in the right atrium and ventricle . Moderate cardiomegaly is stable . There is no pneumothorax . Bilateral opacities which are mix of mild pulmonary edema and layering pleural effusion are unchanged .
    OUTPUT:
    
There is no new lung consolidation . Exam is unchanged since ___ .