Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacer device is again seen . Cardiac and mediastinal silhouettes are grossly stable . TAVR is in similar position . There are moderate bilateral pleural effusions with overlying atelectasis , underlying consolidation not excluded . Pulmonary vascular congestion has decreased in the interval . Left perihilar pleural plaque is re - demonstrated .
    OUTPUT:
    
Moderate bilateral pleural effusions with overlying atelectasis . Persistent cardiomegaly .