Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are increased bilateral pleural effusions and bibasilar opacities . Although these likely contain a component of compressive atelectasis , infection can not be excluded . The right lower lung opacity projecting above the effusion demostrates a fluffy appearance more concerning for pneumonia or aspiration . There has been interval near - complete resolution of the left perihilar opacity . No pneumothorax is seen . Heart size is difficult to evaluate in the setting of these overlying opacities .
    OUTPUT:
    
Bilateral pleural effusions and bibasilar opacities , which may represent aspiration or pneumonia , likely with a component of ateletasis .