Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: All lines , tubes , and devices are appropriate and unchanged in positioning . There are no new focal consolidations . There are persistent moderate bilateral layering pleural effusions with associated compressive atelectasis , not significantly changed in size compared to prior . The pulmonary vasculature is normal . The cardiomediastinal silhouette is stable . There is no pneumothorax .
    OUTPUT:
    
1 . Appropriate positioning of all lines , tubes , and devices . 2 . Stable bilateral moderate pleural effusions . 3 . Stable enlargement of the cardiomediastinal silhouette .