Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new pacemaker lead terminating in the right ventricle as expected . The aorta is tortuous and calcified , but stable compared to prior . There is moderate stable cardiomegaly . There is still a moderate right pleural effusion with associated atelectasis which is stable compared to the most recent prior study . The lungs are hyperinflated with flattened diaphragms . There is stable indentation upon the right aspect of the trachea with fullness of the superior mediastinum correlating to known goiter .
    OUTPUT:
    
1 . New pacemaker lead with tip terminating in the right ventricle as expected . 2 . Stable moderate right pleural effusion with associated atelectasis . 3 . Lung hyperinflation with flattened hemidiaphragms .