Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest show a new pacemaker in place within the left chest wall . Leads are seen in proper position in the right atrium and left ventricle . The heart size is at the upper limits of normal . There is mild increased pulmonary vascular prominence . There are small bilateral pleural effusions . There are no consolidations . There is no pneumothorax . The osseous structures are unremarkable .
    OUTPUT:
    
1 . Pacemaker leads seen in the proper position . 2 . Small bilateral pleural effusions .