Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no interval change in the appearance of the chest since the earlier study performed at 19 : 45 . Again seen is a pacemaker in the left chest wall with a single lead terminating in the region of the right ventricle . Again seen are bibasilar opacities , right greater than left , representing layering pleural fluid and / or atelectasis . The heart remains markedly enlarged . The mediastinal and hilar contours remain unchanged . No pneumothorax is seen . There are degenerative changes of the bilateral glenohumeral joints .
    OUTPUT:
    
1 . No interval change in the appearance of the chest since the earlier study performed at 19 : 45 . Unchanged bibasilar opacities , right greater than left , representing layering pleural fluid and / or atelectasis . 2 . Cardiomegaly . This preliminary report was reviewed with Dr . ___ , ___ radiologist .