Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased blunting of the costophrenic angles bilaterally with meniscal configuration , concerning for bilateral pleural effusions . The aerated upper lungs demonstrate prominent pulmonary vasculature without evidence for edema . Large hiatal hernia is again seen with adjacent compressive atelectasis . There are increased basilar consolidations , likely atelectasis in the setting of effusion . However , pneumonia or aspiration can not be excluded . The aorta is tortuous and calcified . The cardiac silhouette is obscured and therefore heart size is incompletely evaluated on this study . No pneumothorax is detected . Right glenohumeral degenerative changes noted .
    OUTPUT:
    
Bilateral pleural effusions , new or increased compared to prior , without evidence for pulmonary edema . Bibasilar consolidations most likely represent atelectasis , but aspiration or pneumonia can not be excluded . Findings discussed with Dr . ___ by Dr . ___ by phone at 10 :50 p .m . on ___ at the time of initial review of the study .