Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are new small bilateral pleural effusions , larger on the left , with adjacent atelectasis . Superiorly , the lungs are clear . Cardiomediastinal silhouette is within normal limits . Median sternotomy wires and coronary artery stents are again noted . Right chest wall dual lead pacing device again seen . No acute osseous abnormalities .
    OUTPUT:
    
Small bilateral pleural effusions with adjacent atelectasis .