Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is hazy opacity at the right lung base which correlates with a layering moderate sized pleural effusion . Blunting of the posterior costophrenic angle on the left suggests small left effusion as well . Superiorly , the lungs are clear . Cardiomediastinal silhouette is within normal limits . Left chest wall single lead pacing device is again seen . No acute osseous abnormalities .
    OUTPUT:
    
New moderate right and small left pleural effusions .