Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post tracheobronchoplasty . Postoperative appearance shows more narrowing in the lower trachea compared to most recent radiograph from 1 day prior but improved appearance of the upper trachea . Bilateral effusions have increased , right greater than left with likely fluid in the right major and minor fissures . Bibasilar atelectasis again noted . No pneumothorax is seen . Postoperative appearance of cardiac and mediastinal silhouettes are unchanged . Left PICC tip in low SVC . Calcified aortic knob . Vertebral hardware unchanged .
    OUTPUT:
    
Bilateral pleural effusions with bibasilar atelectasis increased compared to radiograph from a day prior . Postoperative appearance shows more narrowing of lower trachea with improved upper trachea compared to most recent radiograph .