Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . Single lead right - sided pacemaker is again seen with lead unchanged in position . There has been placement of a right - sided PICC , terminating in the mid SVC . There are bilateral pleural effusions with overlying atelectasis , similar to prior , possibly very minimally increased on the left .
    OUTPUT:
    
Bilateral pleural effusions with overlying atelectasis grossly similar to possibly minimally increased as compared to the prior study .