Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest were obtained . Right middle lobe pleural effusion , seen as a round opacity contiguous with the minor fissure , has significantly increased in size since previous imaging . The previously seen left lower lobe opacity , which likely represents a loculated pleural effusion , has also increased in size since previous imaging . Bibasilar pleural effusions are seen . There is no pneumothorax . Cardiomediastinal silhouette is unchanged . Visualized osseous structures are unremarkable .
    OUTPUT:
    
Increase in size of right middle lobe pleural effusion and left lower lobe loculated pleural effusion since prior imaging .