Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single semi-erect frontal view of the chest demonstrates unchanged tracheostomy and a right PICC in standard position . The heart remains prominent . Perihilar vascular engorgement and moderate pulmonary edema is little changed . There is persistent bilateral small pleural effusion associated with atelectasis . Calcified pleural plaques are seen in the basal pleura bilaterally .
    OUTPUT:
    
No significant interval change since one day ago of moderate pulmonary edema and bilateral pleural effusions .