Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube is in appropriate position . Cervical spinal fixation hardware is noted . The cardiac silhouette is incompletely evaluated due to bibasilar opacification . The mediastinal and hilar contours are within normal limits and stable . There is persistent diffuse opacification of the right mid and lower lung zones greater than the left lower lung zone . There is silhouetting of the right hemidiaphragm and right heart border . These findings likely reflect a combination of large pleural effusion and underlying consolidation or atelectasis . Mild pulmonary vascular congestion is also noted . No pneumothorax is present .
    OUTPUT:
    
Large bilateral pleural effusions on the right greater than the left with underlying consolidation or atelectasis .