Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual - chamber pacemaker device is noted with leads terminating in the right atrium and ventricle . Moderate cardiomegaly is unchanged . Atherosclerotic calcifications of the aortic knob are again demonstrated . Mild pulmonary vascular congestion is similar compared to the previous study with a small to moderate right pleural effusion and trace left pleural effusion , relatively unchanged compared to the previous studies . Bibasilar airspace opacities likely reflect areas of atelectasis . No pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Bilateral pleural effusions , small to moderate on the right and trace on the left , with bibasilar atelectasis and mild pulmonary vascular congestion .