Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate left and small right bilateral pleural effusions are re- demonstrated , similar in extent compared to the previous exam . The cardiac silhouette size is difficult to assess given obscuration from the adjacent pleural effusions . Bibasilar airspace opacities likely reflect compressive atelectasis though infection can not be excluded . The mediastinal and hilar contours appear unchanged . There is no pulmonary edema . Degenerative changes are noted within the imaged thoracolumbar spine . On the lateral view , there is focally dilated small bowel loop measuring up to 3 .8 cm .
    OUTPUT:
    
Moderate size left and small right bilateral pleural effusions , similar compared to the previous study . Bibasilar airspace opacities likely reflect compressive atelectasis though infection and aspiration can not be completely excluded . Gaseous dilatation of a small bowel loop on the lateral view . Consider abdominal radiographs for further assessment .