Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Comparison is made with the next preceding portable chest examination of ___ which apparently has been obtained with patient in semi-upright position . It is different and even when paying attention to AP versus PA frontal projection , the overall heart size has been reduced , apparently related to successful pericardiocentesis during the interval . Bilateral pleural effusions persist and are probably equal in size . They are now clearly blunting the lateral and posterior pleural sinuses as the patient is in upright position on the present examination . The accessible pulmonary vasculature does not show any congestive pattern , nor is there any upper zone redistribution when patient is in upright position . No pneumothorax can be identified . The heart shadow configuration is not revealing . An absence of significant left atrial enlargement is , however , noted on the lateral view and confirms the absence of any significant pulmonary vascular congestion .
    OUTPUT:
    
Findings consistent with polyserositis with pericardial and bilateral pleural effusions . The patient underwent a PA and lateral chest x-ray on ___ with images taken in upright position . Comparison with this study is identifying a now smaller heart shadow and the amount of pleural effusions has clearly increased . Further followup recommended .