Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest wall dual lead AICD is present . The tip of the right chest wall Port - A - Cath is not clearly visualized . A left chest drain is present . There is a moderate right and small left pleural effusions with overlying atelectasis / consolidation . A left pneumothorax is visualized but was better assessed on the the recent CT scan of the chest . Contrast material is noted in the left renal collecting system .
    OUTPUT:
    
Moderate right and small left pleural effusions with overlying atelectasis / consolidation . Left pneumothorax , although visualized , was better assessed on the recent CT scan of the chest . A left chest drain is in place .