Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pacer leads terminate in the right atrium and right ventricle , expected . No pneumothorax . Small bilateral pleural effusions are again noted . No focal consolidation is detected . Moderate cardiomegaly is unchanged . Median sternotomy wires are intact . Right mid clavicular fracture is healed .
    OUTPUT:
    
Small bilateral pleural effusions and moderate cardiomegaly are unchanged from ___ .