Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of a dual lead permanent pacemaker is seen with pacemaker leads terminating in the right atrium and right ventricle without evidence of mediastinal widening or pneumothorax . A right PICC line is in the catheter tip projecting over the right atrium . There is stable right lower lobe volume loss secondary to atelectasis and small bilateral pleural effusions . There is mild interstitial edema . The cardiac silhouette moderately enlarged and stable from previous studies .
    OUTPUT:
    
1 . Placement transvenous pacemaker with leads terminating in the right atrium and right ventricle . 2 . Right PICC line with catheter tip terminating in the right atrium . 3 . Stable right lower lobe volume loss secondary to atelectasis and small bilateral pleural effusions . 4 . Mild interstitial pulmonary edema