Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided dual - lead pacemaker is in place . There is no pneumothorax . Mild pulmonary edema is unchanged . Moderate right and small left pleural effusions are unchanged . Moderate cardiomegaly despite the projection is stable . Multiple stable acute left rib fractures are often seen following chest compression .
    OUTPUT:
    
No significant interval change in mild pulmonary edema and bilateral pleural effusions , right greater than left .