Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A permanent pacemaker is in place in the left axillary position . Pacemaker wires are in the proper position in the right and left atrium . The Pleurx catheter is seen at the left base . Since the prior radiograph , there has been a slight decrease in size of the left pleural effusion . A small effusion persists . The peripheral mass at the left base also appears to have slightly decreased in size . Stable atelectasis is present at the left base . There is a small right pleural effusion , unchanged from the prior exam . A right pleural mass is also unchanged . The cardiomediastinal silhouette is normal . There is no new consolidation , edema , or pneumothorax .
    OUTPUT:
    
1 . Small bilateral pleural effusions . Pleurx catheter in position at the left base with no reaccumulation of left pleural effusion . 2 . Stable peripheral pleural - based metastases .