Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient 's chin and overlying soft tissues obscure both lung apices . Evaluation is further limited by suboptimal inspiratory effort . Moderate layering pleural effusions are not appreciably changed . New rounded opacity adjacent to right hilus could be due to infection or fluid in the major fissure . A left pectoral pacemaker remains in place . Cardiomegaly is not appreciably changed .
    OUTPUT:
    
Stable moderate bilateral pleural effusions . New rounded opacity adjacent to right hilus could be due to infection or fluid in the major fissure .