Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube is in unchanged position , 4 cm from the carina . A left internal jugular central venous catheter terminates in the mid SVC . An NG tube is seen coarsening below the diaphragm with the tip of the field of view . A large right and moderate left pleural effusion are not significantly changed . The known right apical mass is stable . The lung volumes are lower in comparison to prior exam with accentuation of bibasilar atelectasis . There is no overt pulmonary edema . There is no new consolidation . There is no pneumothorax .
    OUTPUT:
    
No significant change from the chest radiograph performed one day earlier . Stable bilateral pleural effusions .