Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual - chamber pacemaker with generator is in left pectoral region with leads ending in right ventricle and body of right atrium . Distal tip of right internal jugular line is at origin of right brachiocephalic vein . Sternotomy wires are in correct placement . Increase in bilateral basilar pleural effusions left greater then right . No focal consolidation , pulmonary edema , or pneumothorax . Heart size and mediastinal contours are normal .
    OUTPUT:
    
Bilateral pleural effusions , left greater than right . Can not exclude bleeding ; however , concurrent increase in pleural effusion on both sides argue against this . Results were conveyed via telephone to Dr . ___ at 11 :20 a .m . on ___ by Dr . ___ within 15 minutes of results .