Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a persistent moderate right pleural effusion as well as likely a small left pleural effusion . The pulmonary vasculature is minimally changed from ___ . The cardiomediastinal silhouette is stable . The left pacer leads terminate in the right atrium and ventricle . There is no focal consolidation or pneumothorax .
    OUTPUT:
    
Minimal , if any improvement in pulmonary edema .