Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD is seen , with lead extending the expected positions of the right atrium right ventricle . The cardiac silhouette is mild to moderately enlarged . Mediastinal contours are grossly unremarkable . Left lower lobe calcified granuloma is seen . Small pleural effusions are better demonstrated on CT . No pulmonary edema is seen .
    OUTPUT:
    
Small bilateral pleural effusions better demonstrated on subsequent CT . ___ , MD ___=___