Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New left - sided pacemaker is in adequate position with the lead in the atrium and the other one in right ventricle . There is no pneumothorax . Left moderate pleural effusion and small right pleural effusion are new with left lower lobe atelectasis . Moderate cardiac enlargement is unchanged .
    OUTPUT:
    
New left - sided pacemaker is in adequate position . Bilateral pleural effusions are new , moderate on the left side and small on the right side .