Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Prior left PICC is no longer visualized . There are persistent bilateral effusions , moderate on the left and a small on the right , similar to prior . Increased interstitial markings throughout the lungs are likely due to chronic underlying interstitial process . Peripheral patchy opacities are also visualized , right greater than left and are in a similar distribution to nodular opacities seen on prior CT . Mild cardiomegaly is again noted . Compression deformity of an upper thoracic vertebral body level was seen on prior but has likely progressed since ___ .
    OUTPUT:
    
Persistent moderate left and small right pleural effusions . Peripheral patchily opacities in a similar distribution to nodules better seen on prior chest CT . Followup imaging by CT had been suggested at that time and should still be performed on a nonurgent basis .