Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Unchanged moderate bilateral pleural effusions and severe left lower lobe atelectasis . Previously seen possible left upper lobe opacity is no longer seen and likely due to overlying tubing on prior study . No pneumothorax . The mediastinal and hilar contours are stable . ET tube ends 5 .6 cm from the carina , unchanged . Enteric tube ends off the imaged portion . Right internal jugular sheath ends just above the origin of the SVC , unchanged .
    OUTPUT:
    
No significant change in bilateral pleural effusions and left lower lobe atelectasis . Previously seen possible left upper lobe opacity is no longer seen and likely due to overlying tubing on prior study .