Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright radiograph demonstrates a left chest wall AICD with SVC and right ventricular shock coils , unchanged . The moderate right and small left pleural effusions are essentially unchanged in size . Pulmonary edema is moderate . There is adjacent compressive atelectasis of the left and right lower lobes . There is no pneumothorax .
    OUTPUT:
    
Interval change in moderate right and small left pleural effusions with partial collapse of the right lower and middle , and left lower lobes .