Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , there has been an increase in the now large right pleural effusion and small left pleural effusion . Moderate pulmonary interstitium edema is worse now . Moderate cardiomegaly is unchanged in size . Bibasilar atelectasis unchanged . Concurrent pneumonia can not be ruled out . Pacer leads overlying right atrium and right ventricle .
    OUTPUT:
    
Since ___ , worsening pulmonary edema and worsening bilateral pleural effusions . Stable bibasilar atelectasis .