Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated somewhat to the right . Patient is status post median sternotomy and CABG . Triple lead left - sided pacer device is grossly stable in position . The cardiac silhouette remains markedly enlarged . The aorta is tortuous . Small to moderate right pleural effusion is seen . No left pleural effusion is seen . No definite focal consolidation . No evidence of pulmonary edema . No pneumothorax is seen .
    OUTPUT:
    
Marked cardiomegaly and small to moderate right pleural effusion . No pulmonary edema is seen .