Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right internal jugular central venous catheter is unchanged with tip in the upper SVC . Since prior exam , there are new small - to - moderate bilateral pleural effusions , which obscure the lower lungs . A lower lobe opacity is difficult to exclude . There is no pneumothorax . The cardiomediastinal silhouette is normal . The stomach is significantly distended . A drain overlying the left upper quadrant and surgical ___ are partially imaged in the mid abdomen .
    OUTPUT:
    
1 . New bilateral pleural effusions , which obscure the lower lungs . Recommend further evaluation with an upright chest radiograph to assess for basilar opacities . 2 . Distended air-filled stomach . Results were initially discussed with Dr . ___ by Dr . ___ at 6 : 20 a .m . on ___ via telephone , 5 minutes after the findings were discovered . They were again discussed with Dr . ___ at 1 :20 p .m . on ___ via telephone by Dr . ___ .