Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant interval change compared to the prior radiograph performed yesterday evening . The dual - chamber pacemaker is redemonstrated with leads terminating in the right atrium and right ventricle . There is mild pulmonary vascular congestion . Bilateral pleural effusions are noted , likely also present on the prior study . There is no evidence of pneumonia or pneumothorax . The cardiomediastinal silhouette is within normal limits . Surgical clips are noted in the right upper quadrant .
    OUTPUT:
    
Unchanged position of dual chamber pacemaker with leads terminating in the right atrium and right ventricle .