Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate size bilateral pleural effusions that have increased compared to the prior exam . There is Associated volume loss in the lower lobes . An underlying infectious infiltrate ca n't be excluded . There is mild pulmonary vascular redistribution . Feeding tube tip is off the film , at least in the stomach .
    OUTPUT:
    
Increased bilateral pleural effusions .