Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of cardiac silhouette persists . Aorta is tortuous and calcified . Right PICC tip terminates in the proximal right atrium , unchanged . Widening of the right paratracheal stripe is concerning for lymphadenopathy . There is no pulmonary edema . Small bilateral pleural effusions are noted with adjacent compressive atelectasis . No pneumothorax is seen . Mild anterior wedging of a lower thoracic vertebral body is re - demonstrated with multilevel degenerative changes noted in the thoracic spine .
    OUTPUT:
    
1 . Small bilateral pleural effusions with bibasilar atelectasis . 2 . Widened right paratracheal stripe suggestive of underlying lymphadenopathy .