Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right IJ access dialysis catheter again noted with tip in the region of the cavoatrial junction . The lungs are grossly clear bilaterally . Cardiomediastinal silhouette is stable . Tiny pleural effusions likely present . No convincing signs of congestion or edema . No focal consolidation concerning for pneumonia . No pneumothorax . Degenerative changes are again noted at the shoulders .
    OUTPUT:
    
Stable cardiomegaly with probable tiny pleural effusions . Dialysis catheter in place . No convincing evidence for pneumonia .