Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to prior chest radiograph , lung volumes are decreased . Increased lung base opacities likely reflect progression of multifocal bronchoalveolar carcinoma . There is substantial increase of bilateral pleural effusions . Evaluation of the cardiac silhouette is somewhat limited by overlying opacities . A right - sided Port - A - Cath catheter is in unchanged position . There is no pneumothorax .
    OUTPUT:
    
1 . Increased lung base opacities likely reflect progression of multifocal bronchoalveolar carcinoma . 2 . Substantial increase of small left and moderate right pleural effusions .