Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 10 : 18 are submitted .
    OUTPUT:
    
Right internal jugular Port - A - Cath and dual lead left - sided pacer are unchanged in position . Left - sided PleurX catheter remains in place . Given differences in positioning , the loculated right pleural collection appears stable . No significant left pleural collection is seen . Patchy right lower lobe airspace process is not significantly changed . Left lung is grossly clear . No obvious pneumothorax . The heart remains stably enlarged .