Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior study there is increased bilateral pleural effusions , moderate on the left and small on the right . There is increased size of the cardiac silhouette . Surgical clips consistent with prior thyroid surgery are unchanged . A stimulator with leads extending upwards is seen in the right chest wall . A second device is seen inferior to the first which appears new from prior .
    OUTPUT:
    
Increased bilateral pleural effusions , left greater than right , and adjacent atelectasis . Coexisting pneumonia in the left lower lobe is not excluded in the appropriate clinical setting .