Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small bilateral pleural effusions , right greater than left have increased . Bibasal opacities have also increased . Mild pulmonary vascular congestion . Mild cardiomegaly . Stable appearance of the dual lead pacemaker . No pneumothorax .
    OUTPUT:
    
Small bilateral pleural effusions , right greater than left have increased .