Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A moderate left pleural effusion and small right pleural effusion , both have increased in size from the prior studies . There is adjacent bibasilar atelectasis . There is no pneumothorax or focal airspace consolidation . The cardiac silhouette is mildly enlarged but unchanged . The mediastinal and hilar contours are unremarkable . A left - sided ICD , sternotomy wires and mediastinal clips are again noted . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate left and small right pleural effusion which a increased from prior and best seen on the lateral view .