Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Improved lung volumes bilaterally . Interval increase in left pleural effusion and persistent small right pleural effusion . Bibasilar opacities left greater than right is unchanged . No pneumothorax is seen . The cardiac and mediastinal silhouettes are unchanged . Dual lead pacemaker with pacer leads in the right atrium right ventricle in expected positions .
    OUTPUT:
    
Increase in moderate left pleural effusion and persistent small right pleural effusion . No significant change in left lower lobe consolidation .