Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , bilateral basal parenchymal opacities are unchanged . There has been interval worsening of the bilateral pleural effusions , now multiloculated in the bilateral lungs . Moderate cardiomegaly is stable . Constant positioning of the tracheostomy tube and left PICC line .
    OUTPUT:
    
Worsened bilateral pleural effusions , which now demonstrate multiple loculations .