Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral pleural effusions , small on the right , moderate on the left with adjacent atelectasis are better delineated on dedicated CT . The heart appears enlarged consistent with known pericardial effusion . Mild increased interstitial opacities are noted within the left upper lobe . No acute fractures are identified .
    OUTPUT:
    
Cardiomegaly with known pericardial effusion . Bilateral pleural effusions , moderate on the left and small on the right , with adjacent atelectasis .