Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead left - sided pacemaker is again seen with leads extending to the expected position of the right atrium and right ventricle . There are small bilateral pleural effusions with overlying atelectasis , underlying basilar consolidation can not be excluded . There is minimal pulmonary vascular congestion . The cardiac silhouette remains mildly - to - moderately enlarged . Mediastinal and hilar contours are stable .
    OUTPUT:
    
Small bilateral pleural effusions with overlying atelectasis , underlying consolidation can not be excluded . Persistent cardiomegaly . Minimal - to - mild pulmonary vascular congestion .