Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The monitoring and support devices are unchanged . Unchanged moderate - to - large bilateral pleural effusions are again seen . There is no evidence of upper zone re-distribution of the vasculature concerning for pulmonary edema , although there is mild central vascular congestion . Heart size is within normal limits . No pneumothorax is seen .
    OUTPUT:
    
Stable moderate - to - large bilateral pleural effusions with no strong evidence for pulmonary edema .