Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker device with leads terminating in the right atrium and right ventricle is unchanged . Moderate enlargement of cardiac silhouette is re - demonstrated . The mediastinal and hilar contours are unchanged , with calcification of the aortic arch again again seen . The pulmonary vasculature is normal . No focal consolidation or pneumothorax is seen . Small bilateral pleural effusions are noted , right greater than left . No acute osseous abnormalities are detected .
    OUTPUT:
    
Small bilateral pleural effusions , right greater than left .