Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hypoinflated with crowding of vasculature and bibasilar atelectasis . Interval increase in bilateral pleural effusions . Lower lobe opacity is noted . No pneumothorax . Heart size , mediastinal contour , and hila are unremarkable . Aortic arch calcifications are present . A right porta cath tip is in the right atrium . An enteric feeding tube tip is at the level of the gastroesophageal junction .
    OUTPUT:
    
1 . Interval increase in bilateral pleural effusions 2 . Lower lobe opacity is likely combination of pleural fluid and atelectasis . Superimposed infection can not be excluded . 3 . Enteric feeding tube tip at level of gastroesophageal junction . Recommend advancement so that it is well within the stomach .