Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bibasilar opacities , likely some combination of layering effusions and atelectasis with possible superimposed consolidation . Superiorly , the lungs are clear . The cardiomediastinal silhouette is enlarged particularly on the left in the region of the AP window . While some of this may be technical due to patient rotation and AP positioning , followup will be necessary . Left chest wall dual lead pacing device seen with lead tips projecting over the right atrium and right ventricle . Old healed right lateral rib fractures are seen .
    OUTPUT:
    
Bibasilar opacities likely in part due to effusions with possible superimposed atelectasis and / or infection . Enlarged cardiomediastinal silhouette as above , potentially accentuated by patient positioning and technique however repeat will be necessary when patient is amenable , preferably with PA and lateral .