Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Left chest wall dual lead pacing device is again seen . There are small bilateral effusions similar to prior . Streaky left basilar opacity is seen , potentially atelectasis noting that the infection is not completely excluded . Cardiomediastinal silhouette is unchanged . Surgical clips again project over the left lung likely from prior resection . No acute osseous abnormality detected .
    OUTPUT:
    
Small bilateral effusions are unchanged from prior . Left basilar streaky opacity potentially atelectasis noting that infection is not completely excluded .