Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Left chest wall triple - lead pacing device is seen with leads in stable position . Prosthetic mitral valve is again noted . Cardiac silhouette is enlarged but stable in configuration . Atherosclerotic calcifications noted at the aortic arch . The lungs are clear without confluent consolidation . There is blunting of the posterior costophrenic angles , suggesting small effusions . There is no overt pulmonary edema . Hypertrophic changes are noted in the spine .
    OUTPUT:
    
Small bilateral effusions . No other acute cardiopulmonary process .