Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior exam , the patient has been extubated , and a tracheostomy tube has been placed . A left - sided PICC line is unchanged , terminating at the superior cavoatrial junction . Small to moderate bilateral pleural effusions with associated bibasilar atelectasis are unchanged . There is no pneumothorax . The cardiomediastinal silhouette can not be accurately assessed .
    OUTPUT:
    
Status post extubation with no significant interval change in small to moderate bilateral pleural effusions with associated bibasilar atelectasis . Infection at either lung base can not be excluded .