Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ETT tip projects approximately 4 cm from the carina . Right PICC line tip is obscured by the superimposed pacer leads , but appears overall in similar position . Dual lead pacemaker leads are unchanged . Right lower lobe opacities consistent with pneumonia . Elevation right hemidiaphragm is increased , suggesting atelectasis . Small right pleural effusion . Left pleural effusion , if present , is small . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
1 . Right lower lobe pneumonia . 2 . Bilateral pleural effusions .