Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rather small bilateral pleural effusions and volume loss in both lower lungs . However , this is improved in appearance compared to the study from 1 week ago . Dual lead pacemaker is again seen . Her continues to be moderately enlarged . There is mild pulmonary vascular redistribution .
    OUTPUT:
    
Slight improvement in fluid overload .