Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Heart size and cardiomediastinal contours are normal . Elevation of the hemidiaphragms is likely due to large volume ascites . Lung volumes are low with bibasilar atelectasis . Blunting of the costophrenic angles is similar to prior and consistent with small pleural effusions . No focal consolidation or pneumothorax .
    OUTPUT:
    
Small bilateral pleural effusion with elevation of the hemidiaphragms from large volume ascites .