Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: 2 lead left - sided pacemaker is seen with lead extending to the expected positions of the right atrium and right ventricle . Bilateral pleural effusions with overlying atelectasis there is seen . Enlargement of the cardiomediastinal silhouette is stable . Central pulmonary vascular engorgement is seen .
    OUTPUT:
    
Bilateral pleural effusions with overlying atelectasis . Persistent enlargement of the cardiomediastinal silhouette . Central pulmonary vascular engorgement .