Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are small persistent bilateral pleural effusions . There is pulmonary vascular congestion without overt edema . The lungs are otherwise clear besides linear opacity in the right midlung which is likely atelectasis . Left chest wall triple lead pacing device is again noted with leads in stable position . Moderate to severe cardiomegaly is noted as well as atherosclerotic calcifications . Orthopedic hardware is again seen in the right humeral head and surgical clips identified in the right upper quadrant .
    OUTPUT:
    
Persistent small bilateral pleural effusions with pulmonary vascular congestion . No focal consolidation .