Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant change in moderate bilateral pleural effusion . Basilar consolidation or atelectasis is stable . Heart size is top normal , unchanged from prior . Widening of mediastinum silhouette likely reflects increased intra thoracic pressure or volume , though no significant pulmonary edema is seen . Again seen is right perihilar radiation fibrosis . Left dual - chamber ICD is again seen and unchanged in position .
    OUTPUT:
    
Moderate bilateral pleural effusion , unchanged . No pulmonary edema .