Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increase in the size of the bilateral pleural effusions , now small to moderate in extent . There are overlying opacities which likely reflect atelectasis and / or consolidation . No pneumothorax identified . The size the cardiac silhouette is enlarged but unchanged . There is calcification of the mitral annulus . A right internal jugular central venous catheter is present , the tip projecting over the superior cavoatrial junction . Marked degenerative changes of the right shoulder .
    OUTPUT:
    
Increased bilateral pleural effusions with overlying atelectasis and / or consolidation .