Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . Left - sided dual - chamber pacer leads are in stable position . The lungs are chronically hyperexpanded . Trace right pleural effusion is new , but there is no focal consolidation , pneumothorax , or evidence of pulmonary edema . Moderate cardiomegaly is stable from multiple priors . Diffuse vascular calcifications are unchanged .
    OUTPUT:
    
Trace right pleural effusion . No other change from ___ .