Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe dextroscoliosis of the thoracolumbar spine is present . Large bilateral pleural effusions are relatively unchanged compared to the prior exam , with associated bibasilar atelectasis . Assessment of the cardiac silhouette size is limited , as is evaluation of the mediastinal and hilar contours . Mild pulmonary vascular congestion appears present . Calcification of the thoracic aorta is noted . No pneumothorax is identified .
    OUTPUT:
    
Large bilateral pleural effusions , similar compared to the prior study with associated bibasilar atelectasis . Mild pulmonary vascular congestion .