Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is at least mildly enlarged . A left pectoral pacer is in place with leads in the right atrium and right ventricle . An endotracheal tube is in appropriate position with the tip terminating 3 .5 cm cranial to the carina . Left greater than right bibasilar opacities are relatively unchanged , as are a moderate right pleural effusion and moderate - to - large left pleural effusion . There is mild vascular congestion . A left internal jugular central venous catheter terminates at the brachiocephalic confluence . There is no pneumothorax .
    OUTPUT:
    
Relatively unchanged left greater than right bibasilar opacities with unchanged moderate right pleural effusion and moderate - to - large left pleural effusion with mild vascular congestion .