Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal and hilar contours are stable . There is worsening moderate right pleural effusion and associated basilar atelectasis . There is also a small left pleural effusion . The lungs are otherwise clear . There is a lytic lesion of the left second rib with additional bony destruction associated with the known left apical mass .
    OUTPUT:
    
Increasing bilateral pleural effusions , right worse than left , with associated right basilar atelectasis .