Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes remain low , with bibasilar atelectasis , right pleural effusion , and mild pulmonary vascular engorgement . The cardiomediastinal silhouette is stable . Endotracheal and enteric tubes are unchanged in position . There is no pneumothorax .
    OUTPUT:
    
No significant change in appearance of the chest since the prior study .