Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison with the study of ___ , there is little change in the bilateral layering pleural effusions with basilar compressive atelectasis , more prominent on the right . Some element of increased pulmonary venous pressure persists . Right subclavian catheter tip again extends to the lower portion of the superior vena cava . Fixation devices are seen in the lower cervical and upper thoracic spine .
    OUTPUT:
    
Little overall change .