Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A pigtail catheter projects over the left hemithorax . The left chest wall dual lead AICD is present . A right chest wall Port - A - Cath extends to the right atrium . Unchanged bilateral pleural effusions with overlying atelectasis . No discernible pneumothorax identified , however attention on follow - up imaging is recommended . The size and appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
A pigtail catheter projects over the left hemithorax . No significant interval change in the appearance of the lung parenchyma . Although no discrete pneumothorax is identified on the current examination , attention on follow - up imaging is recommended .