Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Nasogastric tube again terminates in the stomach . There are clips at the gastroesophageal junction . No significant pneumothorax . Small bilateral pleural effusions have developed . Cardiomediastinal and hilar contours are normal , without frank evidence of pulmonary edema .
    OUTPUT:
    
New small pleural effusions .