Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable chest radiograph was obtained . Bilateral pleural effusions and mild atelectasis have increased since ___ . Cardiomegaly is unchanged . There is no consolidation or pneumothorax . Pacing leads , sternotomy wires , vascular clips , and abdominal surgical clips are unchanged .
    OUTPUT:
    
Increased bibasilar effusions and atelectasis since ___ .