Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . A left chest wall Port - A - Cath is seen with its catheter extending to the region of the cavoatrial junction . Bilateral pleural effusions appear increased from prior exam though small - to - moderate in size and greater on the right than left . There is associated consolidation in the lower lungs likely atelectasis , though I can not exclude pneumonia . The mid to upper lungs appear well aerated . The heart and mediastinal contour appears stable . No free air is seen below the right hemidiaphragm . The bony structures are intact .
    OUTPUT:
    
Increasing bilateral effusions , now small - to - moderate , right greater than left with associated atelectasis in the lower lungs , can not exclude pneumonia .