Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right upper extremity PICC and the left chest Port - A - Cath terminates at the cavoatrial junction . The esophageal stent is again noted . Compared to the prior study , there has been increase in bilateral pleural effusions , now large on the left and moderate on the right with adjacent compressive atelectasis . The cardiac silhouette is obscured due to the parenchymal abnormalities . No pneumothorax is seen .
    OUTPUT:
    
Interval increase in bilateral pleural effusions , now large on the left and moderate on the right .