Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The aortic contour and calcification pattern appears similar compared to prior studies . Descending thoracic aortic contour also appears similar to prior studies , but is obscured inferiorly by adjacent lung and pleural abnormalities . Cardiac silhouette remains enlarged , and is accompanied by upper zone vascular redistribution . Small - to - moderate bilateral pleural effusions are present as well as adjacent basilar atelectasis and / or consolidation , worse on the right than the left . ICD pacing device remains in place with leads in the right atrium and right ventricle .
    OUTPUT:
    
No portable chest radiographic findings to suggest aortic dissection , but the sensitivity of this study is low for detecting this diagnosis . If there is clinical suspicion for acute aortic dissection , a CT angiogram would be recommended .