Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided ICD remains in unchanged position . Cardiac silhouette remains mildly enlarged with mild fluid overload without overt interstitial edema . There remains a moderate right - sided pleural effusion slightly increased from prior examination as well as a small remnant left - sided pleural effusion with 2 drainage catheters at the left lung base are unchanged in position from prior exam . There is no pneumothorax . Bibasilar left greater than right atelectasis is unchanged .
    OUTPUT:
    
Little change compared to prior study with slight interval increase in size of moderate right pleural effusion . Small persistent left - sided effusion with 2 drainage catheters in place without pneumothorax .