Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated . There is a right PICC with tip projecting over the right atrium . There is a tracheostomy cannula . Posterior lower cervical fusion hardware is re - demonstrated . Bilateral layering pleural effusions with associated associated underlying bibasilar atelectasis are unchanged . There is unchanged cardiomegaly . Pulmonary vasculature is at the upper limits of normal . There is no pneumothorax .
    OUTPUT:
    
Unchanged examination with bilateral pleural effusions and associated bibasilar atelectasis .