Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild pulmonary vascular congestion is similar as before . Moderate sized bilateral pleural effusions are slightly increased . Bilateral lower lobe collapse is persistent . No consolidation is noted in the upper lungs . There is no pneumothorax . Cardiac silhouette is obscured by pleural effusions .
    OUTPUT:
    
Moderate bilateral pleural effusions are slightly increased . Pulmonary vascular congestion is similar as before .