Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual lead pacemaker is in - situ . Both leads are visualized on the current study . Presumed mitral valve clips are also seen projecting over the heart . No pneumothorax seen . There are large bilateral pleural effusions with associated compressive atelectasis . These appear grossly stable when compared to the prior studies . Superimposed infection can not be excluded . The tip of the Dobhoff tube is not visualized on the frontal projection but is seen to be in the expected location of the stomach on the lateral view
    OUTPUT:
    
Expected appearances following transvenous pacemaker placement . The tip of the Dobhoff tube is not visualized on the AP view but appears to be in the stomach on the lateral projection . Large bilateral pleural effusions with associated compressive atelectasis . Superimposed infection can not be excluded .