Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are no new focal opacities concerning for pneumonia . There is worsened bibasilar opacification , likely atelectasis and a moderate left layering and small right layering pleural effusion . The cardiomediastinal and hilar contours are stable with heart borders obscured by adjacent parenchymal change and effusion . Pulmonary vascularity is not increased . Retained contrast is demonstrated throughout the visualized colon . Sequelae of prior hernia repair is noted . Pacemaker leads are demonstrated within the right atrium and right ventricle in standard positions . There is exaggerated thoracic kyphosis with multiple mid thoracic wedge compression deformities , similar since ___ .
    OUTPUT:
    
Worsened now severe bibasilar atelectasis and bilateral pleural effusions .