Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC is no longer visualized . There is a right chest wall port with tip projecting over the right atrium . Known pleural - based lesions are not visualized on the current exam . Blunting of the posterior costophrenic angles suggests small effusions . The lungs are otherwise clear . The cardiomediastinal silhouette is stable . Atherosclerotic calcifications noted at the aortic arch . No acute osseous abnormality .
    OUTPUT:
    
Small bilateral effusions . Previously noted extrapleural masses are not clearly did not delineated on today 's exam .