Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pleural based opacities , right greater than left are possible bilateral pleural effusions with possible pleural thickening and / or prominent pleural fat . Opacity on the lateral view posteriorly may be a loculated effusion however , an underlying focal parenchymal opacity is possible . There is associated bibasilar atelectasis . There is no pneumothorax . The cardiac silhouette is obscured by the pleural fluid . The hilar and mediastinal contours are normal . Vascular stent projects over the left upper chest . Vascular stents project in the left subclavian / axillary regions .
    OUTPUT:
    
Possible bilateral pleural effusions with pleural - based thickening and / or prominent extrapleural fat . More rounded opacity posterior on the lateral view may be due to loculated fluid however underlying focal parenchymal opacity is possible . Correlation with prior imaging would be helpful to document stability . If not available , CT should be performed to further characterize , the acuity of which can be determined clinically