Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are low in volume and show bibasilar opacities consistent with atelectasis . There are moderate bilateral effusions . The cardiac silhouette is enlarged , unchanged . The cardiomediastinal silhouette and hilar contours are normal . Diffuse sclerotic appearance of the bones is compatible with known osteoblastic metastases .
    OUTPUT:
    
Moderate bilateral effusions with bibasilar atelectasis .