Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the recent CXR on ___ , there are worsening bilateral pleural effusions , right significantly greater than the left . There is no evidence of pneumothorax or pneumoperitoneum . Previous left - sided subclavian line has been removed . The tracheostomy tube is unchanged in position and terminates approximately 1 cm above the carina . The right - sided PICC line terminates at approximately the upper SVC , unchanged . The cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
1 . Worsening bilateral pleural effusions , right greater than left . 2 . No pneumothorax or pneumoperitoneum .