Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes likely due to poor inspiration which result in some vascular crowding . There are bilateral pleural effusions , right greater than left , unchanged from previous exam . There is bibasilar atelectasis , unchanged from previous exam . Chest radiograph is essentially unchanged from prior imaging . Pacer leads are in good position . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Essentially unchanged chest radiograph . Bilateral pleural effusions , right greater than left . These findings were communicated to Dr . ___ at 9 :30 a .m . by telephone .