Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly is a stable . The aorta is tortuous . Small bilateral effusions larger on the right have increased . Bibasilar atelectasis have increased . There is no evident pneumothorax or pulmonary edema . The and moderate Degenerative changes in the thoracic spine
    OUTPUT:
    
Increasing bilateral effusions with adjacent atelectasis