Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated to the left . There has been interval removal of a right - sided PICC . Left - sided pacer device is similar in position , with 3 leads seen . There is a moderate to large right pleural effusion with overlying atelectasis , underlying consolidation is difficult to exclude . No pleural effusion is seen on the left . The cardiac silhouette is enlarged . The aortic knob is calcified . There is mild pulmonary edema .
    OUTPUT:
    
Moderate to large right pleural effusion with overlying atelectasis , underlying consolidation not excluded . Mild to moderate pulmonary edema . Enlarged cardiac silhouette .