Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left chest wall pacemaker leads terminate in stable position . Previously seen left pleural tube has been removed . Heart size and cardiomediastinal contours are normal . There is minimal blunting of the costophrenic angles , which are consistent with small effusions . Mild lower lung atelectasis . No focal consolidation or pneumothorax . Posterior spinal fusion construct is similar to prior .
    OUTPUT:
    
Small bilateral pleural effusions with lower lung atelectasis . No focal consolidation or pneumothorax .