Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left chest tube is in unchanged position . Left - sided pleural effusion with associated volume loss is unchanged . Small right - sided pleural effusion is unchanged . Right lower lobe atelectasis is also unchanged . The lungs are otherwise clear . No pneumothorax . The cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Bilateral pleural effusions are grossly unchanged . Left - sided chest tube is in unchanged position .