Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bibasilar opacity silhouetting the hemidiaphragm is bilaterally . There is also hazy opacity over the periphery of the right lung and superiorly . This could be due to layering or loculated effusion . Elsewhere the lungs are clear . Cardiac silhouette is enlarged at least moderately . Atherosclerotic calcifications noted at the aortic arch . Degenerative changes noted in the spine .
    OUTPUT:
    
Bibasilar opacities likely at least in part due to pleural effusions , potentially with layering for loculation more superiorly on the right . Cardiomegaly . PA and lateral , if patient is amenable , may offer additional detail .