Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small moderate left pleural effusion . The cardiac silhouette remains enlarged . The aorta calcified . The right lung remains hyperinflated . There is mild pulmonary vascular congestion . No pneumothorax is seen . Dual lead left - sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle .
    OUTPUT:
    
Left pleural effusion . Mild pulmonary vascular congestion .