Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The dual lead pacer with the tips in the right ventricle . Moderate cardiomegaly . Small to moderate right - sided and small left pleural effusions with bibasal increasing opacities . No interstitial pulmonary edema . No pneumothorax .
    OUTPUT:
    
New bilateral pleural effusions and increasing adjacent bibasal opacities .