Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The pacer leads terminates in right atrium and right ventricle . Right IJ central venous catheter is unchanged position . Interval removal of the enteric tube . The lung volume is small . Small bilateral pleural effusions and volume loss have improved . Mild pulmonary venous congestion has also improved . No pneumothorax . Moderate cardiomegaly is unchanged . The mediastinal contour is unchanged . No fractures . Small calcified nodule is seen in the right shoulder , unchanged .
    OUTPUT:
    
Pacer leads terminate in right atrium and right ventricle . Improved pulmonary venous congestion and bilateral pleural effusions and volume loss .