Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest ___ at 11 :38 are submitted .
    OUTPUT:
    
Left subclavian PICC line unchanged in position . Overall cardiac mediastinal contours are stable . There continue to be layering bilateral effusions with associated patchy airspace disease likely reflecting compressive atelectasis . Lungs are hyperinflated consistent with underlying emphysema . No pulmonary edema . Small bilateral apical pneumothoraces which are less apparent on the current study when compared to prior suggesting possible interval decrease in size versus differences in positioning .