Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dobbhoff tube is unchanged with tip ending in proximal gastric cavity . Left subclavian PICC has tip ending in upper SVC also unchanged since ___ . Bilateral pleural effusion , larger to the left than the right is unchanged with associated left lower lobe atelectasis . Severe cardiomegaly , partially due to pericardial effusion as described in CT of Jannuary ___ , is stable . There is no sign of vascular congestion or pulmonary edema . There is no pneumothorax .
    OUTPUT:
    
All the monitoring and support device are unchanged in standard position . Stable bibasilar pleural effusion , larger to the left with LLL atelectasis and severe cardiomegaly .