Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior CXR , there has been interval development of a new moderate layering right pleural effusion , and likely a small left effusion . There is also bibasilar atelectasis . No evidence of pneumonia or pneumothorax . The cardiac silhouette is distorted by the known large hiatal hernia . The CT abdomen from ___ shows a normal size heart . No acute osseous abnormalities .
    OUTPUT:
    
1 . New moderate - sized layering right pleural effusion . Small left pleural effusion . Bibasilar atelectasis . 2 . large hiatal hernia .