Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Stability of the severe bilateral pleural effusion with compressive atelectasis . There is no visible pneumothorax . The tracheostomy and left - sided subclavian line is unchanged . The mediastinal and cardiac contour are stable . The nasogastric tube and feeding tube has been removed since the previous exam .
    OUTPUT:
    
There is no significant change since the previous exam . The feeding tube and nasogastric tube have been removed .