Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates low lung volumes results in bronchovascular crowding . There are moderate size bilateral pleural effusions with adjacent atelectasis . Soft tissues of the head and neck overly the lung apices . The cardiomediastinal and hilar contours are unchanged . There is no pneumothorax . A right - sided PICC line is in unchanged position . There has been interval removal of the endotracheal tube .
    OUTPUT:
    
Moderate bilateral pleural effusions with adjacent atelectasis .