Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate - sized left and small right pleural effusions , both of which have increased in size over the interval , and are associated with mild adjacent bibasilar opacities . The heart remains enlarged . A pacemaker device is present , with leads terminating in the region of the right atrium and right ventricle . There is no pneumothorax or focal consolidation .
    OUTPUT:
    
Moderate - sized left and small right pleural effusions , both of which have increased in size and are associated with mild adjacent basilar atelectasis and or consolidation .