Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new new moderately large right and a stable small left pleural effusion . There is associated relaxation atelectasis . Infection can not be excluded . No pneumothorax seen . A right - sided Port - A - Cath terminates in the distal SVC although evaluation of the right heart border is limited due to the effusion and atelectasis . A dual lead pacemaker is unchanged in appearance compared to the prior study . Moderate cardiomegaly .
    OUTPUT:
    
New moderately large right and stable small left pleural effusion with associated atelectasis . Infection can not be excluded .