Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . This patient is known to have a large hiatal hernia which can be seen on this radiograph with gas - filled loops of colon in the retrocardiac space . Bilateral pleural effusions and lower lobe atelectasis versus pneumonia appear slightly progressed from prior . Upper lungs remain well aerated . There is likely a component of mild pulmonary edema . Heart size is difficult to assess . Bony structures appear intact . A catheter projects over the upper abdomen .
    OUTPUT:
    
Increasing pleural effusions and lower lobe consolidations concerning for atelectasis versus pneumonia . Mild edema appears new . Large hiatal hernia again seen .