Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided PICC is again noted to be position within the right atrium , this be could be withdrawn 3 - 4 cm for better seating in the distal SVC . There are bilateral chest tubes in - situ . Despite this , there are bilateral pleural effusions , larger on the right than the left . There is bibasilar atelectasis , superimposed infection can not be excluded . No pneumothorax seen . The visualized bony structures demonstrate moderate degenerative change in the thoracolumbar spine .
    OUTPUT:
    
Persistent bilateral pleural effusions . There is associated compressive atelectasis , superimposed infection can not be excluded .