Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left anterior chest pacemaker defibrillator is again seen with tips terminating in the right atrium and right ventricle in unchanged positions . Again seen is a right PICC line with tip terminating in the upper to mid SVC and a left ventricular assist device in stable position . The cardiomediastinal and hilar contours are stable with moderate cardiomegaly involving the right atrium , the left atrium , and the left ventricle . A left base consolidation , likely representing a combination of atelectasis and partly loculated pleural effusion , is essentially stable compared to the most recent prior study . There is no right pleural effusion . There is no pneumothorax . There is no new focal consolidation concerning for pneumonia .
    OUTPUT:
    
No significant change in partly loculated left pleural effusion with associated atelectasis .