Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The study is limited by patient rotation and external objects on the chest . Tracheostomy tube and right PICC are unchanged in position . Moderate bilateral pleural effusions , edema and right lower lobe collapse are similar . No new parenchymal consolidation .
    OUTPUT:
    
Moderate bilateral pleural effusions and edema . No significant change .