Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , unchanged compared to the prior study . Large layering right pleural effusion , also unchanged . Moderate left - sided pleural effusion . There is associated bibasilar atelectasis . An endotracheal tube , right internal jugular catheter and nasogastric tube are unchanged in appearance compared to the prior study .
    OUTPUT:
    
No significant interval change when compared to the prior study .