Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe enlargement of the cardiac silhouette is present which is partially attributable to the presence of a moderate pericardial effusion . The aorta is tortuous . There is no pulmonary vascular congestion . There are bilateral pleural effusions , small to moderate on the right and small on the left . Bibasilar atelectasis is also seen , more pronounced within the right lung base . There is no pneumothorax . No acute osseous abnormalities are seen .
    OUTPUT:
    
Bilateral pleural effusions , small to moderate on the right and small on the left with bibasilar atelectasis . Moderate size pericardial effusion , better assessed on the chest CT obtained earlier in the day .