Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated and the lung volumes are low which limits evaluation . There are moderate bilateral pleural effusions with adjacent atelectasis which have increased in size from prior . The cardiac silhouette remains mildly enlarged . There certainly is n't evidence of severe pulmonary edema . No pneumothorax . There is no displaced rib fracture .
    OUTPUT:
    
1 . Increase in moderate bilateral pleural effusions . 2 . No displaced rib fracture . If further concern for a fracture persists , a dedicated rib series with markers would be useful .