Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left PICC terminates in the mid SVC . There is a large right pleural effusion with adjacent volume loss . A left retrocardiac opacity reflects associated effusion and atelectasis . The heart is obscured secondary to the adjacent volume loss and pleural effusions . There is no overt pulmonary edema .
    OUTPUT:
    
Interval increase in bilateral pleural effusions , right larger than left , with adjacent volume loss .