Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes continue to be low with small bilateral pleural effusions and bibasilar atelectasis . The cardiac silhouette continues to be severely enlarged with unchanged pulmonary vascular engorgement . The right IJ and left IJ central venous line are unchanged and in upright position . The ET tube and gastric tube both have been removed .
    OUTPUT:
    
Low lung volumes with small bilateral effusions .