Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the chest radiograph obtained 1 day prior , no significant changes are appreciated . Bilateral pleural effusions and associated atelectasis are unchanged . Cardiomegaly and cardiomediastinal silhouettes are unchanged . No pulmonary vascular congestion or pulmonary edema . An ETT , enteric tube , right - sided IJ central venous catheter , and left - sided IJ central venous catheter are unchanged and appropriately positioned . Median sternotomy wires are midline and intact . No pneumothorax .
    OUTPUT:
    
Unchanged bilateral pleural effusions and associated atelectasis .