Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a left PICC , which extends to the mid SVC . There is no pneumothorax . Lung volumes are low and there are bilateral pleural effusions , larger on the right , likely in conjunction with atelectasis accounting for basilar opacities . There is no new parenchymal opacity to suggest pneumonia and the upper lung zones remain well aerated . There is no pulmonary vascular congestion or edema . Cardiomediastinal contours are difficult to assess , though appear unchanged . There are no acute osseous abnormalities .
    OUTPUT:
    
Low lung volumes , with bilateral pleural effusions and atelectasis . No convincing evidence of pneumonia .