Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Triple lead pacing device partially obscures the left lung field . Leads are unchanged in position . Lungs appear hyperinflated . Blunting of the lateral costophrenic angles bilaterally suggest small effusions . There is no focal consolidation or pneumothorax . No overt pulmonary edema . Platelike atelectasis is noted at the bilateral lung bases . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities are identified . Old fractures noted in the left eighth , and probably the left ninth ribs .
    OUTPUT:
    
Small bilateral effusions without other acute cardiopulmonary process .