Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy and right PICC line are unchanged in position with interval removal of the NG tube . Right upper lobe opacity outlining the major fissure likely represents redistribution of effusion within the fissure . Bilateral effusions with associated atelectasis have increased since ___ . Worsened pulmonary vascular congestion with borderline pulmonary edema also compromises respiratory reserve . Adjacent pleural effusion accentuates the cardiomediastinal silhouette . No pneumothorax .
    OUTPUT:
    
Larger bilateral pleural effusions with associated atelectasis limit lung volumes . Worsening pulmonary vascular congestion and borderline pulmonary edema also compromise respiratory reserve . Telephone notification to Dr . ___ by Dr . ___ at 10 : 10 on ___ .