Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change . Right hemodialysis catheter tip projects over the expected region of the low SVC , unchanged . Aortic stent graft appears unchanged . Median sternotomy wires are also unchanged . Bilateral pleural effusions , greater on the left compared to the right , with adjacent relaxation atelectasis persist , unchanged . No pneumothorax . Cardiomediastinal silhouette appears similar .
    OUTPUT:
    
No significant interval change - persistent moderate left and small right pleural effusions with atelectasis .