Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate bilateral pleural effusions that have increased compared to the prior study . There associated areas of volume loss in the lower lobes . Spinal hardware and sternal wires are again visualized . The right IJ line with tip in the right atrium is unchanged .
    OUTPUT:
    
Moderate bilateral pleural effusions , slightly increased compared to prior