Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to large bilateral pleural effusions are noted with adjacent atelectasis , right greater than left . The upper lungs are grossly clear bilaterally without evidence of pulmonary edema or pneumothorax . The bones appear diffusely sclerotic , compatible with known diffuse osseous metastatic disease .
    OUTPUT:
    
Moderate to large bilateral pleural effusions with adjacent atelectasis , right greater than left . Findings are better evaluated on the concurrent CTA chest examination .