Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A cardiac device generator is in the left chest with leads terminating in the right atrium and right ventricle . Cardiomegaly is unchanged . There are low inspiratory volumes . Bilateral pleural effusions with associated underlying compressive atelectasis are unchanged . Pulmonary vasculature dilation is unchanged . There is no pneumothorax . Surgical clips project over the right axilla .
    OUTPUT:
    
Unchanged pulmonary congestion with vascular engorgement and bilateral pleural effusions and bibasilar atelectasis . Underlying lower lobe consolidation can not be excluded .