Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is stable . Pacer leads are in standard position . Small to moderate bilateral pleural effusions larger on the left side associated with adjacent atelectasis are grossly unchanged . . There is no pneumothorax . There are moderate degenerative changes in the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary abnormalities . Stable bilateral pleural effusions