Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided pacemaker and multiple leads are in unchanged position . Right - sided PICC terminates at the cavoatrial junction as before . A left ventricular assist device projects over the lower left hemi thorax . A left basilar opacity is stable from ___ which likely reflects a combination of a left pleural effusion and adjacent compressive atelectasis . There is minimal atelectasis at the right base which is stable . No pneumothorax . The cardiomediastinal and hilar contours are unchanged .
    OUTPUT:
    
Left - sided pleural effusion and pulmonary opacity is unchanged . Minimal right basal atelectasis . No pneumothorax .