Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual - chamber pacemaker with two leads in right atrium and anterior right ventricle . Interval increase in bilateral moderate sized pleural effusions , right greater than left . Interval worsening of bilateral opacities likely due to aspiration pneumonia with no interval change in calcified pleural thickening on the left . Heart size is obscured by pleural effusion . Mediastinal contour and hila are normal . No pneumothorax or pulmonary edema .
    OUTPUT:
    
Interval increase in moderate sized bilateral pleural effusions ; worsening bibasilar opacities , likely due to aspiration pneumonia .