Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Redemonstrated is a left Port - A - Cath terminating in the right atrium . The right hemidiaphragm remains elevated , likely secondary to ascites . Persistent , bilateral , moderate pleural effusions are essentially unchanged as compared to the prior examination . The upper lung fields are grossly clear . The lower cardiac borders are obscured with appear unchanged from prior exam .
    OUTPUT:
    
Persistent bilateral moderate pleural effusions and right hemidiaphragm elevation secondary to underlying ascites .