Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , there has been interval increase in pleural effusions bilaterally . There is loss of the right hemidiaphragmatic interface , likely related to increased pleural fluid . Multifocal nodular opacities on the right correspond to known lung nodules seen on prior CT of the chest from ___ . There is persistent cardiomegaly and pulmonary vascular congestion .
    OUTPUT:
    
Persistent cardiomegaly and pulmonary vascular congestion with increased bilateral pleural effusions .