Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Large bilateral pleural effusions appear to have have increased compared to ___ . Bibasilar opacities are probably due to atelectasis . Cardiac silhouette is obscured by a large pleural effusions . Diffusely sclerotic bones are consistent with metastatic disease , similar compared to prior .
    OUTPUT:
    
Large bilateral pleural effusions , increased compared to ___ .