Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval worsening of the right pleural effusion . Slightly improved left pleural effusion . Extensive left lower lobe atelectasis again noted . The cardiac and mediastinal silhouettes are not well - visualized due to the bilateral pleural effusions however remain unchanged compared to prior study . The right - sided PICC and left - sided Port - A - Cath terminate in the distal SVC . No pneumothorax is seen . Esophageal stent is grossly patent and unchanged in position .
    OUTPUT:
    
Worsening right pleural effusion and slightly improved left pleural effusion compared to prior chest radiograph from ___ .