Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pneumothorax . A new nasogastric tube passes inferiorly out of view with the side port over the expected location of the stomach . The cardiac pacemaker and its two leads are in appropriate and unchanged position . The lung volumes are markedly low . There are bilateral pleural effusions . The hilar and cardiomediastinal contours can not be fully evaluated due to the low lung volumes . The pulmonary vessels are crowded , but there is no evidence of edema .
    OUTPUT:
    
1 . No evidence of pneumothorax . 2 . Markedly low lung volumes with bilateral pleural effusion . 3 . New nasogastric tube in appropriate position .