Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable AP chest radiograph is obtained . A right internal jugular catheter has been removed . Mediastinal drains , median sternotomy wires , and mediastinal clips are unchanged . Lung volumes remain low . Small bilateral effuisions are new or newly apparent . Bibasilar atelectasis has progressed . There is no pneumothorax . Moderate cardiomegaly is stable .
    OUTPUT:
    
Small bilateral pleural effusions are new or newly apparent .