Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right central line is present , tip overlying right atrium . There is mild cardiomegaly , unchanged . There are small - to moderate - sized bilateral effusions with underlying collapse or consolidation , new compared with ___ . In this setting , the previously seen opacity over the right lower lung is difficult to discern . Possible upper zone redistribution , but no definite CHF . There is tubing overlying the lower chest and upper abdomen and additional tubing overlying the lower left chest . Clinical correlation to assess for the described drain is requested . Patchy density in the left greater than right upper zones may represent post-radiation change . Curvilinear densities over the left upper zone and right paratracheal regions are unchanged , ? calcified scar . The patient has known multiple known pulmonary nodules and sclerotic bone lesions , not well appreciated on this radiograph .
    OUTPUT:
    
Cardiomediastinal silhouette similar to ___ . Small to moderate bilateral effusions with underlying collapse / consolidation are new since ___ . No pneumomediastinum or ptx detected .