Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall single lead pacing device is noted as well as multiple epicardial pacing wires , similar to prior . The lungs are clear without consolidation or edema . Blunting of the lateral costophrenic angles may be due to small effusions . The cardiomediastinal silhouette is stable .
    OUTPUT:
    
Possible small bilateral pleural effusions . No other acute cardiopulmonary process .