Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right internal jugular line has been removed . A left internal jugular line ends in the upper to mid superior vena cava . There is a moderate right pleural effusion has slightly increased and a small to moderate left pleural effusion has markedly increased in size compared to the prior chest radiograph performed 1 day prior . No pneumothorax is identified . There is pulmonary vascular congestion but no overt pulmonary edema . The lung volumes are low which causes crowding of the bronchovascular structures and widening of the mediastinal and cardiac contours .
    OUTPUT:
    
Interval increase in a moderate right and small to moderate left pleural effusions . Adjacent bibasilar opacities likely reflect atelectasis although coexisting aspiration and pneumonia are also possible .