Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are persistent small bilateral effusions . Hazy opacity at the lung bases best seen on the lateral view posteriorly could be due to atelectasis although infection is not excluded . Overall , appearance is similar compared to ___ . Cardiac silhouette is enlarged but stable in configuration . Atherosclerotic calcifications noted at the aortic arch . Left chest wall dual lead pacing device is again noted . Interval right posterior seventh rib fracture is noted .
    OUTPUT:
    
Small bilateral effusions and basilar atelectasis noting infection is not entirely excluded . Interval posterior right seventh rib fracture .