Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size remains unchanged , appearing moderately enlarged . Mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob . Mild pulmonary edema is re - demonstrated . Moderate to large right and moderate left layering bilateral pleural effusions are present , not substantially changed a interval , with associated bibasilar atelectasis . Additionally , bronchiectasis with wall thickening is noted in the left lung base . No pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Moderate to large right and moderate left bilateral layering pleural effusions , not substantially changed in size from the previous study with associated bibasilar atelectasis . 2 . Moderate cardiomegaly with mild pulmonary edema , also similar to prior . 3 . Left basilar bronchiectasis with airway wall thickening suggestive of inflammation or infection .