Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Permanent pacemaker is in standard position with leads in the right atrium and right ventricle . Cardiomegaly is stable and tortuosity of the thoracic aorta appears unchanged as well . Small left and trace right pleural effusions are new along with nonspecific patchy bibasilar opacity .
    OUTPUT:
    
New small left and trace right pleural effusion . Nonspecific patchy bibasilar opacities , with rapid onset favoring aspiration or atelectasis over infectious pneumonia . Short - term followup radiographs may be helpful to assess for resolution .