Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the chest radiograph obtained approximately 7 hours prior , there has been interval removal of left and right - sided chest tubes . No pneumothorax . Moderate pulmonary edema , cardiomegaly , and bibasilar opacities are essentially unchanged . Subcutaneous emphysema in the left chest wall is similar an appearance .
    OUTPUT:
    
Removal of bilateral chest tubes without pneumothorax or other acute complications . Unchanged , moderate pulmonary edema , cardiomegaly , and bibasilar opacities .