Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Assessment is limited by patient rotation . Right - sided pacemaker device is noted with leads terminating in the right atrium and right ventricle . Patient is status post median sternotomy , CABG , and coronary artery stenting . Heart size appears moderately enlarged with a left ventricular predominance . The aorta is diffusely calcified . Mild pulmonary vascular congestion is demonstrated with small right pleural effusion , not substantially changed . Streaky opacities in the lung bases likely reflect areas of atelectasis . No pneumothorax is identified . No acute osseous abnormality is detected .
    OUTPUT:
    
Mild pulmonary vascular congestion with small right pleural effusion .