Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval increase in bilateral pleural effusions , now small to moderate , with overlying atelectasis , underlying consolidation is difficult to exclude in the appropriate clinical setting . There is moderate pulmonary vascular congestion . The cardiac and mediastinal silhouettes are stable . No pneumothorax is seen .
    OUTPUT:
    
Increased bilateral pleural effusions , now small to moderate , with overlying atelectasis , underlying consolidation is difficult to exclude in the appropriate clinical setting . Moderate pulmonary vascular congestion .