Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a triple - channel pacemaker device on the left with leads extending in the right atrium , right ventricle and left ventricular region . There is no pneumothorax . The cardiomediastinal and hilar contours are stable . There is persistent pulmonary vascular congestion as well as small bilateral pleural effusions . No new focal consolidations are identified .
    OUTPUT:
    
1 . Triple channel pacemaker leads terminate in right atrium , right ventricle and left ventricle , expected locations . No pneumothorax . 2 . Persistent pulmonary vascular congestion with small bilateral pleural effusions .