Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall dual lead pacing device is again noted . The lungs are clear of consolidation . There are small bilateral effusions although smaller when compared to remote prior . Cardiomegaly is stable . Atherosclerotic calcifications again noted at the arch . No acute osseous abnormalities
    OUTPUT:
    
Cardiomegaly with small bilateral pleural effusions .