Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval decrease in the small left pleural effusion and resolution of the trace right pleural effusion . Otherwise , no significant interval change . Stable appearance of the cardiomediastinal silhouette with moderate cardiomegaly . No pneumothorax . The left - sided dual lead pacer cardiac device is intact and unchanged in position , with 1 tip in the right atrium and the other in the right ventricle . Stable , mild multilevel degenerative changes including anterior osteophytes in the visualized thoracic spine .
    OUTPUT:
    
1 . Interval decrease in the small left pleural effusion and resolution of the trace right pleural effusion . 2 . Stable moderate cardiomegaly .