Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The newly placed left pacemaker defibrillator has 1 tip in the right atrium the other in the expected region of right ventricle . A right IJ catheter tip projects over the expected region of the proximal right atrium , unchanged . Lung volumes remain low . A large right pleural effusion with compressive atelectasis has slightly increased in the interim . Left pleural effusion with compressive atelectasis appears to increased in the interim . There may be a tiny right apical pneumothorax . No evidence of tension . Cardiomegaly , unchanged .
    OUTPUT:
    
1 . Satisfactory placement of new left ICD . 2 . Interval increase in large , right greater than left , pleural effusions and atelectasis . 3 . Tiny right apical pneumothorax without evidence of tension .