Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low lung volumes are seen particularly on the frontal view with secondary crowding of the bronchovascular markings . There is no confluent consolidation or overt pulmonary edema . Small bilateral pleural effusions are noted . Left chest wall dual lead pacing device is identified . No acute osseous abnormalities are noted .
    OUTPUT:
    
Small bilateral effusions , otherwise no acute cardiopulmonary process .