Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates a right chest port with the catheter tip in the upper right atrium , unchanged in position . Heart size remains a top - normal , likely unchanged . Bilateral pleural effusions are persisting , increased on the right and similar on the left , with associated atelectasis . No focal consolidation or pneumothorax is present .
    OUTPUT:
    
Bilateral pleural effusions , increased on the right and likely unchanged on the left . Persistent moderately severe left lower lobe atelectasis .