Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right chest wall Port - A - Cath is seen with tip in the right atrium . Left chest wall dual lead pacing device is noted . Large right greater than left pleural effusions are noted . Catheter projects over the right lung base with tip projecting adjacent to the spine . Reported left - sided chest tube is faintly visualized but it s course can not be delineated . Suspected tiny biapical pneumothoraces . Cardiac silhouette can not be assessed . Superiorly the lungs are clear . Osseous structures are unremarkable .
    OUTPUT:
    
Bilateral chest tubes are not particularly well assessed but vaguely visualized on the right . Large bilateral effusions . Trace bilateral pneumothoraces are noted .