Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right internal jugular hemodialysis catheter tip projects over the right atrium . No pneumothorax identified . Persisting bilateral layering pleural effusions with adjacent atelectasis and pulmonary edema . The size of the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
No pneumothorax identified . Persisting pulmonary edema with bilateral layering pleural effusions and overlying atelectasis .