Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient 's clinical condition required examination in sitting upright position using AP frontal and left lateral views . Comparison is made with the next preceding portable single view chest examination of ___ . The patient is now extubated . Status post sternotomy and bypass surgery as before . A new permanent pacer has been placed in left anterior axillary position seen to be connected to two intravascular electrodes terminating in right atrial appendage position and apical portion of the right ventricle correspondingly . Apparently , the previously existing temporary pacer wire advanced from below has been removed . In comparison with the previous examination , the at that time existing marked pulmonary congestive pattern with central pulmonary edema has markedly improved . On the other hand , the patient has now developed bilateral pleural effusions , blunt the lateral and posterior pleural sinuses . The amount is considered to be moderate .
    OUTPUT:
    
Successful placement of permanent pacer , no evidence of pulmonary vascular congestive pattern but development of some small amount bilateral pleural effusion .