Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral left greater than right small to moderate pleural effusions are present Heart size is difficult to evaluate due to obscuration of the contours from effusion . A left anterior chest wall dual lead pacer remains in place with unchanged position of the leads . There is mild pulmonary vascular congestion without frank interstitial edema . There is no pneumothorax .
    OUTPUT:
    
New small - to - moderate left greater than right pleural effusions and central vascular congestion without frank interstitial edema .