Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided PIC line appears to terminate in the right atrium , overall unchanged compared to the prior exam . The patient is status post aortic valve replacement . There is a left - sided pectoral pacemaker with the leads in appropriate position in the right atrium and right ventricle . There are stable small bilateral pleural effusions . There is no evidence of a pneumothorax . Moderate cardiomegaly is stable . No definite focal consolidations concerning for infection are identified .
    OUTPUT:
    
No new focal consolidations concerning for infection are identified .