Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the gastric tube projects over the body of the stomach . Bilateral pleural effusions with overlying atelectasis . No pneumothorax identified . The size of the cardiomediastinal silhouette is markedly enlarged but unchanged .
    OUTPUT:
    
The tip of the gastric tube projects over the body of the stomach . Small to moderate layering bilateral pleural effusions with overlying atelectasis .