Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided AICD device is noted with leads in unchanged positions in the right atrium and right ventricle . Moderate enlargement of the cardiac silhouette is re - demonstrated . The aorta remains tortuous . Enlargement of both pulmonary arteries suggests underlying pulmonary arterial hypertension , unchanged . Pulmonary vasculature is not engorged . Streaky retrocardiac atelectasis is present . No focal consolidation is noted . Small bilateral pleural effusions are noted . No pneumothorax is seen . Mild degenerative changes are present in the imaged thoracic spine .
    OUTPUT:
    
Small bilateral pleural effusions . Streaky retrocardiac atelectasis . Enlargement of both pulmonary arteries may suggest underlying pulmonary arterial hypertension , unchanged .