Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate layering right pleural effusion remains unchanged with a new small left pleural effusion . Moderate pulmonary edema is stable . No pneumothorax is seen . The cardiac silhouette is enlarged and stable . There is persistent large volume intra-abdominal free air .
    OUTPUT:
    
Stable moderate layering right pleural effusion with new small left pleural effusion and stable moderate pulmonary edema . Large volume intra-abdominal free air persists .