Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a cardiac device generator in the left chest wall with leads terminating in the right atrium , right ventricle , and coronary sinus . The right ventricular lead appears to loop upon itself . Heart size is mildly enlarged . There is no pneumothorax or area of consolidation . There is mild blunting of the cardiophrenic angles consistent with small bilateral effusions . Pulmonary vasculature is at the upper limits of normal caliber .
    OUTPUT:
    
1 . No evidence of pneumonia or pulmonary vascular congestion . 2 . Minimal blunting of the cardiophrenic angles suggestive of small pleural effusions .