Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy is in place . The heart and mediastinum are unchanged . There has been interval worsening of bibasilar atelectasis , left greater than right . There appears to be interval increase of the moderate left and mild right pleural effusions . There also has been interval development of a left sided fissural loculation . No pneumothorax is seen . There is again a redemonstration of the fractured displaced right shoulder . The left heart border is obscured by the pleural effusion and the fissural loculation .
    OUTPUT:
    
1 . No evidence of pneumonia . 2 . Interval increase in bilateral pleural effusions and bibasilar atelectasis . 3 . Unchanged fractured displaced right shoulder .