Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There continues to be elevation of the left hemidiaphragm with volume loss / infiltrate / effusion in the retrocardiac region . There is also small right effusion . The heart is mildly enlarged . There is mild pulmonary vascular redistribution .
    OUTPUT:
    
Bilateral pleural effusions with associated volume loss in the lower lungs . An underlying infectious infiltrate ca n't be excluded . The appearance is slightly worse compared to the study from the prior day .