Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral pleural effusions have markedly increased . Underlying consolidations most likely represent atelectasis , but pneumonia can not be excluded . Curvilinear density projecting above the meniscus of the right pleural effusion likely represents atelectasis , but cavitation can not be excluded . No pneumothorax is seen . Heart size is difficult to evaluate in the setting of overlying effusions . There is no mediastinal widening . Aortic valve replacement hardware is seen . Pacing hardware appears similarly positioned on this view . Sternal wires appear intact . Mediastinal clips are noted .
    OUTPUT:
    
Markedly increased bilateral pleural effusions with underlying consolidations , most likely atelectasis but infection can not be excluded . Findings reported to ___ by ___ by telephone at 12 :49 p .m . on ___ at time of initial review of the study .