Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable single frontal chest radiograph was obtained with patient in semi upright position . There has been interval removal of the chest tube , ET tube , Swan - Ganz catheter , and NG tube . The left apical area is now filled with fluid . There are new bilateral pleural effusions with associated bibasilar atelectasis . Stable opacity is present in the left supra-aortic region at the site of recent surgery . The heart size is normal .
    OUTPUT:
    
1 . New bilateral pleural effusions with associated bibasilar atelectasis . 2 . Fluid in the left apical region after chest tube removal .