Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single lead right - sided pacer device is stable in position . There is a left - sided PICC which terminates at the cavoatrial junction / proximal right atrium , as seen on prior study . Again , this could be pulled back 3 - 4 cm . The cardiac silhouette remains enlarged . Mediastinal contours are stable . There is a moderate right pleural effusion with overlying atelectasis . Pleural fluid appears decreased in amount as compared to the prior study , although this may relate to differences in patient position . Left pleural effusion has essentially resolved .
    OUTPUT:
    
Moderate right pleural effusion appears decreased since the prior study . Essentially resolved left pleural effusion . Right PICC continues to terminate in mean proximal right atrium an again , could be pulled back 3 - 4 cm .