Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided pacemaker remains in unchanged position , with leads terminating in the right atrium and right ventricle . Bilateral pleural effusions appear improved , however could also relate to patient 's more erect positioning . Evaluation of the cardiac silhouette is limited . No pneumothorax is identified . No focal consolidation is seen . A right - sided pleural drain is unchanged .
    OUTPUT:
    
Bilateral pleural effusions appear decreased in size , small on the right and moderate on the left , however these findings could also relate to patient 's more erect positioning .