Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral pacemaker is seen with leads in the right atrium and right ventricle , unchanged compared to prior . The esophageal stent is also unchanged in positioning . There are persistent bilateral pleural effusions , unchanged in size compared to prior . There is mild central vascular congestion . The lungs are otherwise stable appearance . The cardiomediastinal silhouette is stable . There is no pneumothorax .
    OUTPUT:
    
1 . No definite findings of aspiration . 2 . Mild central vascular congestion . 3 . Stable bilateral pleural effusions .