Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is markedly rotated rightwards . The lower cardiac silhouette is obscured by bilateral pleural effusions and adjacent compressive atelectasis . The aorta is tortuous and heavily calcified . Six intact sternal wires are unchanged . There is no pneumothorax .
    OUTPUT:
    
Moderate - sized bilateral pleural effusions with adjacent compressive atelectasis .