Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A dual lead pacemaker is in - situ , unchanged in appearance compared to the prior study . A right - sided PICC terminates in the mid to distal SVC . The patient is somewhat rotated on today 's study which limits assessment of the cardiomediastinal contour however this appears grossly unchanged compared to the prior study . No consolidation seen . No pneumothorax or pleural effusion .
    OUTPUT:
    
Technically limited study however no significant interval change is seen .