Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right HD line tip projects at the cavoatrial junction . The left - sided pacemaker leads are unchanged in position . There is a small to moderate left pleural effusion , without new focal consolidation or pneumothorax . The right lung is grossly clear . Cardiac silhouette is mildly enlarged and unchanged since ___ .
    OUTPUT:
    
New small to moderate left - sided pleural effusion . No focal consolidation concerning for pneumonia .