Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overall , there is no significant change since ___ . There is persistent pulmonary vascular engorgement without frank interstitial pulmonary edema . There are large bilateral layering pleural effusions and associated bibasilar opacification , compatible with atelectasis . There are no new focally occurring opacities concerning for pneumonia . There is no evidence of pneumothorax . The cardiomediastinal and hilar contours are stable , demonstrating tortuosity of the thoracic aorta . The heart is within upper limits of normal in size .
    OUTPUT:
    
Stable examination since ___ with bilateral large layering pleural effusions redemonstrated .