Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . A right PICC terminates at the cavoatrial junction . Multiple internal intact sternal wires and two prosthetic cardiac valves are unchanged in position . There are moderate atherosclerotic calcifications throughout the aortic arch . Calcifications are also seen along the mainstem bronchi . A small right pleural effusion is a new since the ___ radiograph . A small left pleural effusion remains stable . There is no pneumothorax . There is mild central vascular engorgement without edema .
    OUTPUT:
    
New small right pleural effusion since ___ . Unchanged small left pleural effusion .