Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right subclavian line has been removed in the interim . Spinal hardware appears satisfactory position . Moderate to large bilateral pleural effusions with bibasilar atelectasis are unchanged . There is no pneumothorax or focal airspace consolidation . The cardiac and mediastinal contours are unchanged . A fracture of the left clavicle is again seen .
    OUTPUT:
    
Unchanged moderate to large bilateral pleural effusions .