Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval removal of the endotracheal tube , feeding tube and right central venous catheter . The lungs are again noted to be hyperinflated . There are moderate layering bilateral pleural effusions with overlying atelectasis / consolidation . Unchanged nodule in the right midlung zone . No pneumothorax identified . The size of the cardiomediastinal silhouette is within normal limits . There is calcification of the aortic arch .
    OUTPUT:
    
Moderate layering bilateral pleural effusions with overlying atelectasis / consolidation . Unchanged right mid lung zone nodule . Interval removal of the endotracheal and enteric tube as well as the right central venous catheter .