Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lateral view is limited secondary to patient 's arms being by his side . The lungs are clear of consolidation or edema . There are small bilateral pleural effusions as seen on recent prior . There is mild to moderate cardiomegaly . Left chest wall dual lead pacing device again seen with lead tips in the right atrium and right ventricle . Surgical clips project over the right upper quadrant .
    OUTPUT:
    
Persistent small bilateral pleural effusions . No superimposed acute cardiopulmonary process .