Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided cardiac device ends with lead in appropriate position . A VP shunt is seen . There are small bilateral pleural effusions , left greater than right . The right pleural effusion has decreased in size compared to prior study , the left has increased . No focal consolidation or pneumothorax . Mild apical lung scarring . Cardiomediastinal and hilar contours are normal .
    OUTPUT:
    
Bilateral small pleural effusions , left greater than right . The right pleural effusion has decreased in size , the left pleural effusion has increased in size .