Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph demonstrates interval increase in now moderate bilateral pleural effusions , with adjacent basilar atelectasis . The lungs are otherwise clear . There is no pneumothorax . The pulmonary vasculature is normal . The cardiac silhouette and mediastinal contours are normal . Note is made of calcification of the aortic arch . There is a left subpectoral pacemaker unit , atrial and ventricular leads are unchanged , and in standard position .
    OUTPUT:
    
Increasing moderate bilateral pleural effusions , with adjacent atelectasis .