Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , there has been interval placement of a left pigtail catheter . There are bilateral pleural effusions with new subcutaneous emphysema overlying the left chest wall . No change in the placement of the left IJ pacer , with its tip in the region of the right ventricle . No pneumothorax .
    OUTPUT:
    
Interval placement of a left pigtail catheter , without identified pneumothorax . Bilateral pleural effusions are present .