Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the recent chest radiograph performed one day prior , there is no significant change . Again noted are bilateral pleural effusions , larger on the right than the left , with associated atelectasis . There is no evidence of consolidation , edema , or pneumothorax . The shape of the trachea suggests COPD . The mediastinal contours are normal . The heart is moderately enlarged , which is due to the known pericardial effusion . There is no change in the heart size .
    OUTPUT:
    
1 . Stable moderate - sized pleural effusions , larger on the right than the left , with associated bibasilar atelectasis . 2 . No new infiltrate or edema . 3 . Stable moderate cardiomegaly from known pericardial effusion .