Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright view of the chest provided . A Port - A - Cath resides over the right chest wall with catheter extending to the level of the right atrium . Bilateral pleural effusions have increased in the interval with associated lower lobe compressive atelectasis . Heart size is difficult to characterize . Mediastinal contour is normal . There is no pneumothorax . Bony structures appear intact .
    OUTPUT:
    
Increasing bilateral pleural effusions with compressive lower lobe atelectasis .