Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead pacemaker and median sternotomy wires are unchanged and in good position . There is increasing linear atelectasis and bilateral small pleural effusions . No interstitial pulmonary edema . No acute focal consolidation . The cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Dual lead pacemaker and median sternotomy wires are unchanged in position New small bilateral pleural effusions and left basal atelectasis .