Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright chest radiograph was provided . Tracheostomy tube is present . There is a right arm PICC line with its tip seen at the level of the right axilla . Bilateral pleural effusions are seen , left greater than right with left basal consolidation again noted . There is no evidence of pneumoperitoneum . The heart is difficult to assess . The mediastinal contour appears grossly stable . Bony structures are intact .
    OUTPUT:
    
No convincing signs of intraperitoneal free air . Stable bilateral effusions with left lower lobe consolidation .