Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is at least moderately enlarged . The aorta is tortuous , and potentially dilated . There may be mild pulmonary vascular congestion . Lung volumes are low . Bibasilar airspace opacities with moderate size bilateral pleural effusions are demonstrated , likely reflective of compressive atelectasis though infection or aspiration is not excluded . A peripheral wedge - shaped opacity in the left upper lung field may reflect an area of infarction . No large pneumothorax is detected though assessment is limited as the patient 's neck and chin project over the left apex . No acute osseous abnormality is visualized . Degenerative changes are seen involving both shoulders and within the imaged thoracic spine .
    OUTPUT:
    
1 . Moderate size bilateral pleural effusions with bibasilar atelectasis . Infection or aspiration can not be completely excluded in the correct clinical setting . 2 . Peripheral wedge - shaped opacity in the left upper lung field is concerning for an area of infarction . Further assessment with chest CTA is recommended .