Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe cardiomegaly is unchanged from previous studies . The mediastinal silhouette is normal . Bilateral pleural effusions , small to moderate on the right and moderate on the left . Mild pulmonary edema is unchanged from ___ . An opacification overlying the lower lung is consistent with previously seen pleural plaque and remains unchanged . TAVR is seen in unchanged in position . There is a interval placement of a transjugular pacemaker with the leads running from left pectoral generator to the right ventricle and coronary sinus .
    OUTPUT:
    
Transjugular pacemaker with the leads running from the left pectoral generator to the right ventricle and coronary sinus .