Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are compared to previous exam from ___ . There are bibasilar opacities which silhouette the hemidiaphragms . There is engorgement of the central pulmonary vasculature . Cardiac silhouette appears enlarged but stable compared to prior . Cardiomediastinal silhouette is otherwise unremarkable . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
Bilateral pleural effusions , with associated opacities which are particularly extensive in the right lower lobe , not specific but which could be seen with atelectasis associated with effusions . However , if there is persistent clinical concern for pneumonia , the possibility if not excluded and short - term follow - up radiographs could be considered if symptoms were to persist . Vascular engorgement suggestive of congestive failure .