Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bibasilar opacities with silhouetting of the hemidiaphragms consistent with moderate bilateral pleural effusions with adjacent atelectasis , increased in comparison to prior study from ___ . It is worth noting that an overlying developing pneumonia can not be excluded . The cardiac silhouette also appears enlarged in comparison to prior study suggesting heart failure . Otherwise , atherosclerotic calcifications are again noted at the aortic arch . Known sclerotic focus in the T7 vertebral body is not well evaluated on this study .
    OUTPUT:
    
Interval increase in bibasilar opacities consistent with worsening pleural effusions with adjacent atelectasis . Cardiac silhouette also appears enlarged in comparison to prior study and the combination of these findings is suggestive of heart failure .