Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are right internal jugular catheter , endotracheal and nasogastric tubes , and left PICC in standard position . Right lower lobe consolidation persists . There are unchanged moderate right and small left pleural effusions . Deep sulcus sign again noted on the left , and a small basilar pneumothorax can not be excluded . There is no apical pneumothorax . Moderate cardiomegaly and central venous congestion are unchanged . Multiple mildly displaced right lateral rib fractures are present . There is fixation hardware in the spine .
    OUTPUT:
    
Stable appearance of chest , with right lower lobe pneumonia and bilateral pleural effusions .