Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiac enlargement and prosthetic valve are again noted . Left chest wall dual lead pacing device is noted as well as epicardial leads . Bilateral pleural effusions are noted , left greater than right tracking laterally on the left . There is pulmonary vascular congestion with more dense opacification at the right lung base when compared to prior . No acute osseous abnormalities .
    OUTPUT:
    
Persistent bilateral pleural effusions , left greater than right with new right basilar opacity compatible with pneumonia in the proper clinical setting .