Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Residual small - to - moderate right pleural effusion with adjacent consolidation is unchanged since previous exam . There is no pneumothorax . Left pleural effusion is small with basilar atelectasis . There is mild cardiac congestion and the heart is moderately enlarged in this patient with atrioventricular pacemaker .
    OUTPUT:
    
There is no significant change in small - to - moderate right pleural effusion .