Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One portable AP upright view of the chest . Endotracheal tube ends 6 cm from the carina . Extensive spinal hardware is in appropriate position . Small - to - moderate bilateral pleural effusions , mild pulmonary vascular congestion , bibasilar atelectasis is unchanged . No evidence of pneumonia .
    OUTPUT:
    
No change in small - to - moderate bilateral pleural effusions , mild pulmonary vascular congestion , and bibasilar atelectasis .