Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Because of right - sided pacemaker leads , it is impossible to see the end of right - sided PICC line : it is followed up until mid to distal subclavian vein . The rest of the exam is unchanged with bilateral moderate pleural effusion .
    OUTPUT:
    
The end of right - sided PICC line can not be assessed in this exam secondary to superposition with pacemaker leads .