Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate bilateral pleural effusions and associated atelectasis . The heart size is mildly enlarged . The left pectoral pacemaker seen with transvenous leads in the right atrium and right ventricle . Median sternotomy wires are intact and aligned . No pneumothorax .
    OUTPUT:
    
Bilateral moderate pleural effusions and associated atelectasis .