Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph , no significant change in the widespread parenchymal opacities and moderate cardiomegaly . No change in the left the Port - A - Cath , which terminates at the cavoatrial junction , and right pacemaker lead in the right ventricle . No new focal consolidation or larger pleural effusions .
    OUTPUT:
    
No significant change in the widespread parenchymal opacities and moderate cardiomegaly . No larger pleural effusions .