Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable chest radiograph was provided . Tracheostomy tube is again noted . Midline sternotomy wires and left arm PICC line are unchanged . There are bilateral pleural effusions with lower lobe consolidations which could represent atelectasis or pneumonia . Overall , there has not been significant change from the prior exam . No pneumothorax is seen .
    OUTPUT:
    
No significant change with bilateral pleural effusions and lower lobe consolidations which may represent atelectasis , though pneumonia can not be excluded . Followup to resolution is advised .