Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs on ___ , there is very minimal increase in aeration in the bilateral lungs . Large bilateral pleural effusions and atelectasis are unchanged , with continued low lung volumes . The heart border is again obscured . There is a left - sided PICC line which terminates in the upper SVC . The right - sided dialysis catheter terminates at the cavoatrial junction .
    OUTPUT:
    
No significant change in bilateral large pleural effusions .