Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are two transverse plates and two sternal wires overlying the mid and lower sternal regions . The cardiomediastinal contours are stable compared to the prior radiograph and the right PICC remains in standard position . Again seen is mild pulmonary vascular congestion as well as patchy and linear bibasilar atelectasis . There is no pneumothorax . The small bilateral pleural effusions appear unchanged compared to the prior exam .
    OUTPUT:
    
Unchanged bilateral pleural effusions .