Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest demonstrate background pulmonary fibrosis , as before with decreased volume of right pleural effusion and persistence of left pleural effusion with bibasilar atelectasis . There is no pneumothorax . Although no focal consolidation is identified , an underlying infectious process in the setting of atelectasis and pulmonary fibrosis can not be completely excluded . Multiple wedge compression deformities within the thoracic spine were present previously .
    OUTPUT:
    
Although no focal consolidation is identified , in the setting of background pulmonary fibrosis and bilateral pleural effusions , an underlying infectious process can not be completely excluded .