Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volume is improved from the most recent prior study . There is persistent pulmonary vascular congestion / interstitial edema . A moderate - to - large right and small left pleural effusion are unchanged with underlying bibasilar opacification most likely reflecting atelectasis . The cardiomediastinal silhouette remains enlarged but stable .
    OUTPUT:
    
Unchanged pulmonary vascular congestion , bilateral pleural effusions and underlying atelectasis .