Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube and nasogastric tube remain in standard position . Persistent cardiomegaly and bilateral pleural effusions . The moderate - to - large left pleural effusion is unchanged , moderate right pleural effusion has increased in size . Bibasilar lung opacities are likely due to atelectasis . Multiple acute left rib fractures are again demonstrated .
    OUTPUT:
    
Persistent left and enlarging right pleural effusions .