Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pacemaker and its wires are in proper position with the leads in the right atrium and right ventricle . Stable moderate enlargement of the cardiac silhouette is unchanged . Small new bilateral pleural effusions are present . There is mild engorgement of the pulmonary vasculature , but no definite interstitial edema . There is no consolidation or pneumothorax . A healed rib fracture is present in the right posterior seventh rib .
    OUTPUT:
    
1 . New small bilateral pleural effusions . 2 . No pulmonary edema . 3 . Stable moderate cardiomegaly . Results were communicated with Dr . ___ at 11 a .m . on ___ via telephone by Dr . ___ .