Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior outside facility chest radiograph on ___ , there has been interval placement of a right PICC , which terminates in the mid SVC . Lung apices are obscured by patient positioning . Lung volumes are very low . There are moderately sized bilateral pleural effusion , unchanged . Bibasilar consolidations may represent compressive atelectasis and / or superimposed pneumonia . Background vascular congestion . No evidence of pneumothorax . Heart borders are silhouetted .
    OUTPUT:
    
1 . At least moderately sized bilateral pleural effusions , similar to ___ . 2 . Bibasilar consolidations may represent atelectasis and / or pneumonia .