Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded , with persistent small bilateral pleural effusions , blunting the costophrenic sulci . Moderate cardiomegaly is unchanged , as are positions of left chest wall pulse generator with right atrial and right ventricle pacing leads . There is no pneumothorax or pulmonary edema .
    OUTPUT:
    
Stable small bilateral pleural effusions and moderate cardiomegaly .