Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The moderate right pleural effusion and small left pleural effusion . These appear to be partially loculated . There is underlying compressive atelectasis and a small focal area of consolidation can not be excluded . The left heart border is partially obscured as before . The heart and mediastinal structures are otherwise unremarkable and unchanged . The bony thorax is grossly intact . Hardware is again demonstrated in the upper lumbar spine .
    OUTPUT:
    
Bilateral pleural effusions with underlying compressive atelectasis . No significant change .