Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral pleural effusions are small , left greater than right . There is mild pulmonary vascular congestion , increased from the prior study without frank pulmonary edema . The cardiomediastinal silhouette is unchanged . A left pectoral dual - chamber pacemaker and its leads project in unchanged position . There is no focal consolidation or pneumothorax .
    OUTPUT:
    
1 . New small bilateral pleural effusions , left greater than right . 2 . Mild pulmonary vascular congestion without frank pulmonary edema . 3 . No focal consolidation identified