Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest was obtained . Right PICC terminates in the mid SVC . Large right and moderate left pleural effusions with adjacent atelectasis are unchanged . Widening of the vascular pedicle suggests elevated central venous pressures and is unchanged . No pneumothorax . Moderate enlargement of the cardiomediastinal silhouette is stable .
    OUTPUT:
    
Unchanged large right and moderate left pleural effusions . Unchanged pulmonary vascular congestion .