Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate bilateral pleural effusions and interstitial edema is unchanged . Left lower lobe atelectasis is also again seen . Left PICC ends in the low SVC . The endotracheal tube ends 4 .6 cm from the carina . Mediastinal clips are seen . Cervical fusion hardware is seen .
    OUTPUT:
    
Unchanged moderate bilateral pleural effusions and interstitial pulmonary edema with left lower lobe atelectasis .