Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacer device is stable in position . There are moderate to large bilateral pleural effusions with overlying atelectasis . Basilar consolidation is difficult to exclude . There is moderate pulmonary edema . Lucency projecting over the left lung base , retrocardiac , may relate to a hiatal hernia . The cardiac and mediastinal silhouettes remain enlarged .
    OUTPUT:
    
Moderate to large bilateral pleural effusions with overlying atelectasis , basilar consolidation is not excluded . Moderate pulmonary edema . Persistent enlargement of the cardiac silhouette . Retrocardiac lucency projecting over the left lower hemi thorax could be due to a hiatal hernia