Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . Allowing for this , the cardiomediastinal silhouette is probably unchanged . Background hyperinflation / COPD again noted . The right IJ central line is similar in configuration . No pneumothorax is detected . There are small bilateral pleural effusions , which are new compared with earlier the same day . There is bibasilar atelectasis . Increased retrocardiac density has progressed slightly the possibility of left lower lobe collapse and / or consolidation . There is mild prominence of the lower zone vessels , but no upper zone redistribution or mid zone peripheral vascular plethora .
    OUTPUT:
    
New small bilateral effusions with bibasilar atelectasis . Increased retrocardiac density could reflect left lower lobe collapse and / or consolidation . Mild vascular prominence the lower zones is similar to prior . No upper zone or peripheral vascular plethora is seen .