Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral pleural effusions , moderate to the large on the right and moderate on the left . Bilateral lower lobes are probably collapsed . Bilateral upper lungs are well - aerated without pulmonary edema . Cardiac silhouette is obscured by pleural effusions . Mediastinal silhouette is normal size .
    OUTPUT:
    
Recurrence of bilateral pleural effusions , moderate to the large on the right and moderate on the left .