Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette and hilar contours are stable with prominent tortuous thoracic aorta . Right PICC is unchanged in position with tip projecting over the mid SVC . Bilateral small to moderate pleural effusions are increased compared to prior exam . There is right greater than left basal opacity which is likely atelectasis however infection can not be excluded . There is no pneumothorax .
    OUTPUT:
    
Increase in bilateral pleural effusion now small to moderate in size with bibasilar right greater than left opacities which are likely atelectatic however infection can not be excluded given the clinical circumstance .