Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding . Again seen are bilateral pleural effusions with adjacent atelectasis , not significantly changed from the prior study . Moderate cardiomegaly is unchanged in appearance . There is no pneumothorax . Endotracheal tube ends 6 .3 cm from the carina . A nasogastric tube courses into the stomach and out of the field of view . A right - sided Port - A - Cath ends at the right atrium . A left - sided central venous line ends at the mid SVC .
    OUTPUT:
    
Persistent moderate - sized bilateral pleural effusions with adjacent atelectasis .