Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval increase in bilateral pleural effusion with associated compressive atelectasis . There is mild pulmonary vascular congestion . The cardiomediastinal silhouette is unchanged . The patient has known COPD which is not significantly changed from prior exam . No pneumothorax is present .
    OUTPUT:
    
Increased bilateral pleural effusions with associated compressive atelectasis and new mild pulmonary vascular congestion .