Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle . Midline sternotomy wires and mediastinal clips are again noted . There is also a prosthetic cardiac valve . Cardiomegaly is unchanged with an unfolded calcified thoracic aorta again noted . There are small bilateral pleural effusions causing blunting at the CP angles bilaterally . No signs of edema or pneumonia . No pneumothorax . Mediastinal contour stable . Bony structures are intact .
    OUTPUT:
    
Stable cardiomegaly with small bilateral pleural effusions .