Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are tiny bilateral pleural effusions , left greater than right . Moderate cardiomegaly is unchanged . Mitral annular calcification again seen . No change in the positioning of the right ventricular pacer lead . No focal consolidation concerning for pneumonia or pneumothorax . No overt pulmonary edema . Intact median sternotomy wires .
    OUTPUT:
    
Tiny bilateral pleural effusions , left greater than right with unchanged moderate cardiomegaly . No focal consolidation or overt pulmonary edema .