Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacer device is stable in position . Right - sided Port - A - Cath is seen terminating at the cavoatrial junction . The cardiac and mediastinal silhouettes are stable with the cardiac silhouette moderately to markedly enlarged and the aorta calcified . Persistent blunting of the left costophrenic angle is seen consistent with a small left pleural effusion with overlying atelectasis . Possible trace right pleural effusion is also present . Chain sutures are again noted at the right lung base . Evidence of mitral annulus calcification is seen . No evidence of pneumothorax is seen .
    OUTPUT:
    
Small left pleural effusion with overlying atelectasis and likely trace right pleural effusion .