Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest show a tracheostomy tube , left - sided supraclavicular dual - channel catheter and right - sided PICC line unchanged in position . A feeding tube is again seen coursing below the diaphragm and likely terminating past the pylorus . Low inspiratory lung volumes are unchanged . No definite pneumothorax is appreciated , although the film is suboptimal . Stable small - to - moderate left pleural effusion and small right pleural effusion best appreciated on the lateral radiograph are unchanged with associated bibasilar atelectasis . No new focal consolidation is present . The pulmonary vasculature is not engorged . The cardiomediastinal silhouette is unchanged . Drainage tube and multiple surgical clips in the right upper quadrant of the abdomen are unchanged .
    OUTPUT:
    
1 . No pneumothorax appreciated on today 's exam . 2 . Stable small - to - moderate right and small left pleural effusion .