Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right chest tube and side - port project over the right lower hemithorax , unchanged . Left chest tube and side - port project over the left mid to lower hemi thorax , unchanged . Bilateral small , right greater than left pleural effusions are unchanged . No evidence of pneumothorax . Innumerable pulmonary nodules are stable in appearance . The heart remains mildly enlarged . Hilar congestion suspected . Dual lead pacemaker defibrillator device is unchanged .
    OUTPUT:
    
1 . Unchanged position of bilateral chest tubes without evidence of pneumothorax . 2 . Unchanged bilateral small pleural effusions . Possible hilar congestion . 3 . Numerous bilateral pulmonary nodules , similar to prior .