Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral layering pleural effusions are increased from prior examination . Substantial left lower lobe collapse is likely due to retained secretions . No pneumothorax is present . Prominence of the vascular pedicle and pulmonary edema have decreased since the previous examination although the heart remains moderately enlarged . A right - sided port is unchanged .
    OUTPUT:
    
Increased bilateral layering pleural effusions and substantial left lower lobe collapse .