Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no significant change since the previous exam . The important bilateral pleural effusion and compressive atelectasis are stable . The tracheostomy , feeding tube and nasogastric tubes are unchanged . The left subclavian line is in adequate position in the upper portion of the superior vena cava . There is no pneumothorax . Stability of the mediastinal and cardiac contour .
    OUTPUT:
    
There is no significant change since the previous exam . Stability of the important bibasilar pleural effusion and compressive atelectasis .