Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly is stable . Small right and small to moderate left pleural effusions have increased . Adjacent bibasilar opacities likely atelectasis have increased on the left . There is no pneumothorax . There are moderate degenerative changes in the lower thoracic and lumbar spine
    OUTPUT:
    
Increase in bilateral pleural effusions . Increase opacity in the left lower lobe is like atelectasis but superimposed infection can not be excluded