Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Bilateral pleural effusions are again seen with compressive changes in the lower lungs . Difficult to exclude a superimposed pneumonia . Left perihilar opacity is due to known calcified pleural plaque . No large pneumothorax . Cardiomegaly is stable from prior . Aortic core valve again noted . No convincing signs of edema . Bony structures appear intact .
    OUTPUT:
    
Bilateral pleural effusions with associated compressive lower lobe atelectasis . Cardiomegaly .