Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been little interval change compared to the prior exam . Marked rotary scoliosis of the thoracic spine is re - demonstrated . Bilateral pleural effusions , moderate on the left and small on the right are similar when compared to the prior exam . Bibasilar airspace opacities likely reflect atelectasis . Pleural - based opacity within the left lateral hemithorax likely reflects fluid within the fissure . No pneumothorax is present . There is mild pulmonary vascular congestion . Cardiac silhouette size is difficult to assess given the presence of the pleural effusions and scoliosis . Marked aortic knob calcifications are present .
    OUTPUT:
    
No significant interval change from the prior exam . Persistent bilateral pleural effusions , left greater than right , with bibasilar atelectasis and mild pulmonary vascular congestion . Pleural based opacity in the left lateral hemithorax likely reflects fluid within the fissure .