Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral pacemaker re-demonstrates leads terminating in the right atrium and right ventricle with a modified course of the right ventricular lead consistent with recent intervention . The left lead courses through a persistent left SVC through the coronary sinus into the right atrium . There is no definitive evidence of pneumothorax . However , there is a small left pleural effusion , which is new from the prior study with a left lower lobe consolidation . There is no right pleural effusion . The cardiac silhouette is top normal in size . The mediastinal and hilar contours are within normal limits with mild tortuosity of the thoracic aorta .
    OUTPUT:
    
1 . No definitive evidence of pneumothorax . 2 . New small left pleural effusion and left lower lobe consolidation . Recommend clinical correlation to exclude pneumonia .