Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate to large bilateral pleural effusions with adjacent atelectasis . Pulmonary vascular congestion without overt edema . Calcified pleural plaque seen laterally on the left . Cardiac silhouette is enlarged but not well assessed given silhouetting at the bases bilaterally .
    OUTPUT:
    
Moderate to large bilateral pleural effusions .