Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change in the right apical pneumothorax . There has however been interval increase in idea bilateral pleural effusions with overlying atelectasis , moderate on the right and small on the left . The size of the cardiomediastinal silhouette is unchanged . A right chest wall dual lead pacemaker is again present .
    OUTPUT:
    
Probable slight interval increase in size of bilateral pleural effusions , moderate on the right and small on the left . No significant interval change in the small right apical pneumothorax .