Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top normal . Upper mediastinal contours are stable . Central pulmonary vascular engorgement has increased since the prior exam . Moderate right and small left pleural effusions have enlarged with fluid now apparent in the right major fissure . Bibasilar Bibasilar opacities suggest pleural effusion and atelectasis , but infection can not be excluded .
    OUTPUT:
    
Interval increase in vascular engorgement and now moderate right and small left pleural effusions . Bibasilar opacities suggest pleural effusion and atelectasis , but infection can not be excluded .