Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pleural effusion is again seen , slightly larger in comparison to the prior study . A small right pleural effusion is also slightly increased . A left sided Port - A - Cath is new since the prior study , terminating in the low SVC . A right chest wall pulse generator with dual lead pacemaker terminating in the right atrium and right ventricle is unchanged . There is no pneumothorax or pneumonia . The heart size is stable .
    OUTPUT:
    
Chronic bilateral pleural effusions , both slightly larger than in ___ . No evidence of pneumonia .