Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Poor inspiratory effort time . There is evidence of increase in bibasilar pleural effusions . There is also some peribronchial cuffing and mild cephalization . Increased linear opacity in the left base identified , most consistent with atelectasis although an evolving infection might have a similar appearance . Findings are overall consistent with the clinical suspicion of congestive change .
    OUTPUT:
    
Moderate congestive changes , enlarging pleural effusions Enlarging and worsening left basal changes , still thought most likely to reflect atelectasis flow continued attention and correlation for clinical findings suggestive of pneumonia is suggested