Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate right pleural effusion with adjacent atelectasis , not significantly changed since prior given differences in the technique . No focal consolidation or pleural effusion in the left lung . No pneumothorax . The size of the cardiomediastinal silhouette is enlarged . A left chest wall dual lead pacemaker is present .
    OUTPUT:
    
No significant interval change of a moderate right pleural effusion with adjacent atelectasis .