Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lung volumes are low . There are moderate - sized bilateral pleural effusions with associated atlectasis . There is no focal consolidation or pneumothorax . A left chest wall pacemaker is present with leads in the right atrium and right ventricle . The heart size is mildly enlarged and there are aortic calcifications . There are no displaced rib fractures .
    OUTPUT:
    
Moderate bilateral pleural effusions with associated atelectasis .