Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a dual - lead pacemaker / ICD device , which is in an unchanged position . The heart is mild - to - moderately enlarged but not well visualized . The mediastinal and hilar contours appear unchanged . There has been partial clearing of left basilar opacity that may have represented atelectasis but with persistent pleural effusions that are similar to perhaps minimally increased with suggestion of loculated components . Elsewhere , the lungs appear clear . The bony structures are unremarkable .
    OUTPUT:
    
Moderate bilateral pleural effusions with associated opacities likely attributable to atelectasis , perhaps with minimal increase in pleural effusions . Similar cardiomegaly .