Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Dual - lead pacer is unchanged . There is a right pleural chest tube in place , unchanged in position . The right pleural opacity is unchanged compatible with known effusion and tumor . A small left pleural effusion is stable . There is persistent pulmonary edema and mild cardiomegaly . There is no pneumothorax .
    OUTPUT:
    
No significant change from prior .