Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest . Lung volumes are low . There is an increased large right pleural effusion and a new small left pleural effusion with adjacent atelectasis . Underlying consolidation can not be excluded . Background interstitial lung disease is not markedly changed . The cardiac silhouette is obscured by effusions and is difficult to assess .
    OUTPUT:
    
Increased large right and new small left pleural effusion with chronic background interstial lung disease . An underlying infectious process can not be excluded .