Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are bilateral pleural effusions , right greater than left , and slightly increased from prior . Fluid seen within the right minor fissure . There is pulmonary vascular congestion without overt edema . Moderate cardiomegaly is again noted as well as a dual lead left chest wall pacing device . Tortuosity of the descending thoracic aorta with atherosclerotic calcifications at the arch . No acute osseous abnormalities .
    OUTPUT:
    
Bilateral pleural effusions , right greater than left and slightly larger when compared to prior . Pulmonary vascular congestion without overt edema .