Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph from ___ , there has been substantial increase of pleural effusions bilaterally , left worse than right with complete obscuration of lower lungs . There is no appreciable pneumothorax . Right PICC line terminates at the level of the mid to low SVC . Sternotomy wires and mediastinal clips are intact .
    OUTPUT:
    
Substantial worsening of bilateral pleural effusions . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone on ___ at 12 :43 PM , time of discovery .