Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided dual lumen central venous catheter tip terminates in the proximal right atrium , unchanged . Moderate to severe enlargement of the cardiac silhouette is re - demonstrated . Pulmonary vascular congestion is noted , not substantially changed from prior . Moderate to large layering right and small to moderate left pleural effusions are demonstrated with bibasilar atelectasis . No pneumothorax . No acute osseous abnormalities seen . Degenerative changes are noted within both glenohumeral joints .
    OUTPUT:
    
Bilateral pleural effusions , moderate to large on the right , and small to moderate on the left with bibasilar atelectasis .