Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The heart is of top normal size . Lung volumes are low , exaggerating prominence of the pulmonary vasculature . There has been interval removal of a left chest tube . Small to moderate sized bilateral pleural effusions are again seen although the left - sided effusion has decreased somewhat . No new focal lung consolidation is present . No pneumothorax . The catheter of a right chest wall port terminates in the right atrium . Two mediastinal clips and multiple right anterior chest wall clips are seen . Several clips overlie the upper abdomen .
    OUTPUT:
    
Small to moderate sized bilateral pleural effusions , similar to ___ aside from some decrease on the left side . Interval removal of left chest tube . No new pulmonary consolidation .