Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the ___ examination there has been interval worsening of large bilateral pleural effusions , worse on the left , resulting in moderate atelectasis of the lingula and bilateral lower lobes . A left - sided PICC terminates at the upper SVC . There is no pneumothorax . No consolidations are seen . The upper mediastinal contour remains within normal limits .
    OUTPUT:
    
Interval enlargement of bilateral pleural effusions since ___ , worse on the left . A CT examination was obtained following this study .