Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Leads of a left chest wall pacer terminate in the right atrium and right ventricle . Small right pleural effusion has slightly enlarged since the prior exam . Left pleural effusion is similar to prior . Bibasilar opacities remain consistent with atelectasis . Pulmonary vascular congestion is similar to prior . Cardiomegaly and mediastinal contours are unchanged . An azygos lobe is incidentally noted .
    OUTPUT:
    
Increased right and stable left small pleural effusions with pulmonary vascular congestion .