Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post coronary artery bypass graft surgery . A dual - lead pacemaker / ICD device appears unchanged with leads again terminating in the right atrium and ventricle , respectively . Surgical clips are also again present in the left axilla . The heart is mildly enlarged . The mediastinal and hilar contours appear unchanged including stable widening of the right upper mediastinal contour . An area of right apical pleural thickening is improved suggesting continued decrease in a suspected loculated pleural effusion , although patchy right mid lung opacities and pleural thickening appear unchanged . Fissures remained thickened . Overall , since ___ , however , there is less opacification in the right lung . The left lung remains clear . There is no pneumothorax . The bones appear demineralized with similar multilevel compression deformities along the mid to lower thoracic spine , which are incompletely characterized .
    OUTPUT:
    
Slight continued interval improvement in the right lung opacification and decrease in right apical pleural thickening suggestive of improvement in a loculated pleural effusion . Thickening of fissures , suggestive of persistent mild fluid overload . Bony demineralization and compression deformities , not significantly changed including moderate rightward convex curvature .