Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are likely small bilateral pleural effusions . The heart is mild to moderately enlarged . Dual - lead right - sided pacemaker is again seen , similar in position . There is mild pulmonary vascular congestion . No definite new consolidation is seen .
    OUTPUT:
    
Small bilateral pleural effusions and enlarged cardiac silhouette . Pulmonary vascular congestion .