Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior film , the right IJ line appears to have been retracted , and now lies near the cavoatrial junction , perhaps very slightly distal to it . Otherwise , I doubt significant interval change . Again seen is a left - sided dual lead pacemaker , with lead tips over right atrium right ventricle ; marked cardiomegaly , with a calcified , unfolded aorta ; CHF , with interstitial and probable areas of alveolar edema ; and small right greater left effusions , with underlying collapse and / or consolidation . Calcified nodes and granulomas again noted , consistent with prior granulomatous disease . No pneumothorax detected .
    OUTPUT:
    
Apparent interval retraction of right IJ line , which now lies near the cavoatrial junction , possibly slightly distal to it . Otherwise , I doubt significant interval change . No pneumothorax detected .