Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Erect portable view of the chest was obtained . There has been interval increase in small - to - moderate left pleural effusion with overlying atelectasis . There is also likely a small right pleural effusion . The cardiac silhouette remains mildly enlarged . Mediastinal contours are stable . There is central pulmonary vascular engorgement .
    OUTPUT:
    
Bilateral , left greater than right , pleural effusions with overlying atelectasis . Central pulmonary vascular engorgement .