Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate a dual lead pacemaker with leads overlying the right atrium and ventricle , and a right chest central catheter terminating in the low SVC . Bilateral pleural effusions are again seen , right greater than left , with the right unchanged to slightly increased and the left unchanged . There is no focal consolidation or pneumothorax . The heart is top - normal in size .
    OUTPUT:
    
Bilateral pleural effusions , right greater than left . The right is unchanged to slightly increased in size , and the left is unchanged .