Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low . There is bibasilar opacities , likely due to combination of least moderate - sized pleural effusions and compressive atelectasis . There is diffuse moderate pulmonary vascular congestion and pulmonary edema .
    OUTPUT:
    
Moderate pulmonary vascular congestion and bilateral pleural effusions , worsened compared to ___ .