Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post tracheostomy . Stable , moderate cardiomegaly and mediastinal widening . Hilar contours are not well seen . Significant interval increase in large right pleural effusion with adjacent right lung atelectasis . Moderate interval increase in large left pleural effusion . Lung parenchyma is not well assessed given the extent of the large , bilateral pleural effusions . No appreciable pneumothorax .
    OUTPUT:
    
Increased , large bilateral pleural effusions .