Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Permanent pacemaker is present with leads in the region of the right atrium and right ventricle with somewhat lateral course of the atrial lead . Heart is upper limits of normal in size , in the aorta is mildly tortuous . Bibasilar atelectasis is present with adjacent small pleural effusions , left greater than right .
    OUTPUT:
    
Small bilateral pleural effusions .