Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are small bilateral pleural effusions . The lungs are clear without consolidation . There is mild pulmonary vascular congestion without overt edema . Left chest wall dual lead pacing device is noted with lead tips in the RA and right ventricular apex . Cardiomediastinal silhouette is within normal limits . Atherosclerotic calcifications noted at the aortic arch .
    OUTPUT:
    
Small bilateral pleural effusions .