Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No pneumothorax is seen bilaterally with both pigtails in stable position . There is moderate left pleural effusion seen with adjacent left lower lobe atelectasis and elevation of the left hemidiaphragm . The cardiac silhouette remains enlarged . No focal consolidation is seen , and surgical changes including median sternotomy wires and aortic valve replacement are unchanged .
    OUTPUT:
    
No pneumothorax is visualized on either side . Continued left pleural effusion and associated lower lobe atelectasis .