Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left moderate - sized layering pleural effusion is seen with associated left lower lobe atelectasis . A small right pleural effusion is also present , and pulmonary vascular congestion persists . The ET Tube , right and left central line are unchanged in position .
    OUTPUT:
    
Pulmonary vascular congestion and bilateral pleural effusions , left greater than right , are seen with associated left lower lobe atelectasis .