Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Bilateral chest tubes are in place with bilateral pleural effusions , moderate to large in size . Lower lung consolidations unchanged . Cardiomediastinal silhouette unchanged . Left PICC and right IJ central venous catheters are unchanged . Right mid shaft clavicle deformity noted .
    OUTPUT:
    
No significant interval change .