Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Monitoring and supporting devices are in standard positions . Moderate left pleural effusion has increased whereas mild - to - moderate right pleural effusion , and bibasal atelectases ( left side more than right ) are unchanged since ___ . Top normal heart size , mediastinal and hilar contours are unchanged .
    OUTPUT:
    
Since ___ , moderate left pleural effusion has increased whereas mild - to - moderate right pleural effusion and bilateral lower lung atelectases are unchanged .