Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable frontal view of the chest shows a newly placed tracheostomy tube in satisfactory position . There has been removal of a feeding tube . The right subclavian catheter tip terminates in the mid to low SVC . Although there has been improvement in the bilateral pleural effusions , there is still a moderate right and small left pleural effusion with resultant atelectasis . The cardiac silhouette is top normal . The mediastinum is widened but stable . There is no pneumothorax . Stable displaced rib fractures are noted .
    OUTPUT:
    
Improvement in bilateral pleural effusions ; however , a moderate right and small left effusion persist .