Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette is upper limits of normal in size allowing for low lung volumes . Bibasilar atelectasis is again demonstrated , with interval worsening in the left lower lobe . Small bilateral pleural effusions are present , and also appear increased compared to the prior study . Distended loops of bowel are seen in the imaged portion of the upper abdomen , but are incompletely evaluated on this chest radiograph .
    OUTPUT:
    
Bibasilar atelectasis and small bilateral pleural effusions .