Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable semi-erect frontal chest radiograph again demonstrates an endotracheal tube terminating in the mid thoracic trachea , left PICC terminating in the mid to low SVC , and enteric tube terminating in the stomach . Bilateral pigtail catheters are unchanged in position . Heart size remains moderately enlarged . There is increased left pleural effusion . The right pleural effusion is likely unchanged . There is no focal consolidation or pneumothorax .
    OUTPUT:
    
Moderate bilateral pleural effusions , right greater than left , increased slightly on the right , and substantially on the left since ___ . No pneumothorax . Otherwise unchanged exam .