Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior exam performed one day prior , there is no significant change . Again seen is a layering right pleural effusion with associated atelectasis . A left pleural effusion with atelectasis is also unchanged . There is no new consolidation . There is no pulmonary edema or pneumothorax . The tracheostomy tube is 7 .3 cm from the carina . A left internal jugular catheter terminates in the mid SVC . A Dobbhoff tube is in unchanged position overlying the mid stomach .
    OUTPUT:
    
No significant change in the aeration of the lungs . Stable bilateral pleural effusions and bibasilar atelectasis .