Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided pacemaker and its wires are unchanged . Mild cardiomegaly is persistent compared to exams dated ___ . Overall , the pleural thickening bilaterally appears less extensive and less severe compared to the prior exam ; however , this exam is limited for the evaluation of an empyema . There is no pneumothorax .
    OUTPUT:
    
Interval improvement of the pleural thickening and basilar opacities , compared to the prior exams ; however , evaluation for empyema is limited , and a CT would be recommended for further evaluation . D / w Dr . ___ by Dr . ___ by phone at ___p on the day of the exam .