Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral pleural effusions with overlying atelectasis . The left side of the cardiomediastinal silhouette is stable as compared to the prior study but the right - sided is more prominent . Widening of the superior mediastinum is seen which may in part relate to patient positioning but acute mediastinal process is not excluded . Consider chest CTA for further assessment . No pneumothorax is seen .
    OUTPUT:
    
Bilateral pleural effusions with overlying atelectasis . Widening of the medius to . Mediastinum , new since the prior study , may relate to differences in patient position , but acute mediastinal process is not excluded . Consider chest CTA for further assessment depending on the clinical scenario .