Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . New small to moderate bilateral pleural effusions are present with likely adjacent atelectasis . The cardiomediastinal silhouette is unchanged . There is no pneumothorax . Subcutaneous emphysema in the left chest wall is unchanged from prior exam . Dilated bowel loops with air - fluid levels are seen in the upper abdomen .
    OUTPUT:
    
1 . New small to moderate bilateral pleural effusions with likely adjacent atelectasis . 2 . Dilated bowel loops with air - fluid levels in the upper abdomen , correlate with symptoms for need for additional abdominal imaging .