Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Midline sternotomy wires and mediastinal clips are again noted . There is a left chest wall pacer device with lead tips extending into the region of the right atrium and right ventricle . There is slight interval decrease in the size of the bilateral small pleural effusions . There is minimal plate - like left lower lung atelectasis . No definite signs of pneumonia or CHF . Cardiomediastinal silhouette is stable . Old left upper rib cage deformity and left clavicular midshaft deformity again noted .
    OUTPUT:
    
Slight interval decrease in the size of small bilateral pleural effusions .