Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate , bilateral pleural effusions are slightly larger . Left lower lobe opacity can atelectasis alone or a combination of atelectasis and pneumonia . P acer wires are unchanged in their expected locations . There is no pulmonary edema . No pneumothorax is seen . Cardiomediastinal silhouette is unchanged as compared to previous examination .
    OUTPUT:
    
Bilateral effusions equivocally getting worse . Left lower lobe opacity which could be atelectasis alone or combination of atelectasis and pneumonia .