Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since most recent prior radiograph , there has been development of small bilateral pleural effusions . Increased haziness at the left base is likely atelectasis . There is no other focal consolidation or pneumothorax . Additionally , there has been increase in size of the cardiac silhouette which may be due to a pericardial effusion . The aorta remains tortuous . Osseous structures are normal for degenerative changes of the spine .
    OUTPUT:
    
1 . Small new bilateral pleural effusions . 2 . Enlarged cardiac silhouette . Recommend further evaluation with echocardiogram to evaluate for pericardial effusion