Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bibasilar opacities silhouetting the hemidiaphragms again seen , suggestive of persistent pleural effusions and likely adjacent atelectasis . Please note that infection would be difficult to exclude . There is persistent pulmonary vascular congestion . Dual lead pacing device is again noted . No displaced fractures identified .
    OUTPUT:
    
Bibasilar opacities likely due to combination of persistent effusions and adjacent atelectasis noting that infection can not be excluded . No evidence of displaced rib fracture on this portable chest x-ray .