Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left pectoral pacer device with leads terminating in the right atrium and right ventricle . The thoracic aorta is tortuous , unchanged compared to the prior study . Elevation of the left hemidiaphragm is unchanged compared to the prior study . The lungs are clear without focal consolidation . Small bilateral pleural effusions may be present . No pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable .
    OUTPUT:
    
Left pectoral pacer device leads terminate in the right atrium and right ventricle . Small bilateral pleural effusions .