Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A nasogastric tube courses into the stomach . There is again a dual - lead pacemaker / ICD device with leads terminating in the right atrium and ventricle . The cardiac , mediastinal and hilar contours appear stable . The right lung remains clear without pleural effusion . On the left , there is a new small pleural effusion with probable associated atelectasis of minor degree .
    OUTPUT:
    
No evidence of pulmonary edema . Small pleural effusion on the left with streaky opacities suggestive of atelectasis .