Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been increase in previously seen bilateral pleural effusion with bibasilar atelectasis . There is mild vascular congestion . Right - sided PICC is unchanged in position and terminates within the lower SVC . The previously seen left chest tube has been removed . The cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Increase in bilateral pleural effusion and bibasilar atelectasis .