Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pacemaker generator and leads are in unchanged expected position . There is new mild pulmonary vascular congestion , though no overt interstitial edema . Small bilateral pleural effusions are noted . Patchy basilar opacities are likely due to atelectasis . No definite confluent consolidation is identified . There is no pneumothorax . Apparent interval enlargement of the cardiomediastinal and hilar contours may be partly due to vascular congestion , though also may be because of the AP technique . Surgical clips seen in the region of the thoracic inlet may be related to prior thyroid surgery .
    OUTPUT:
    
Moderate pulmonary vascular congestion and new small bilateral pleural effusions .