Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are moderate to moderately large bilateral pleural effusions , which have increased compared with ___ . There is likely underlying collapse and / or consolidation . The right midzone / base infiltrate seen on the prior film is partially obscured by the right pleural effusion on today 's exam . Again seen is upper zone redistribution and mild vascular plethora , consistent with CHF . Cardiomediastinal contours are obscured by the effusions , but appear overall similar . A calcified granulomas seen in the right mid zone laterally . Again seen is the right - sided catheter . Previously identified pigtail catheters are not clearly visible on the current exam --? interval removal . Background osteopenia and degenerative changes again noted .
    OUTPUT:
    
1 . Interval increase in both right and left pleural effusions , now moderate to moderately large in size , with underlying collapse and / or consolidation . 2 . Upper zone redistribution and mild vascular plethora is unchanged .