Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Right - sided dialysis catheter is unchanged in position . The previously noted PICC line has been removed . Bilateral pleural effusions appear slightly increased bilaterally , now moderate in size . There is associated compressive lower lobe atelectasis though can not exclude pneumonia . Cardiomediastinal silhouette appears unchanged . No pneumothorax .
    OUTPUT:
    
Intervally increased pleural effusions , now moderate bilaterally . Bilateral lower lobe atelectasis though difficult to exclude pneumonia .