Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes remain low . A tracheostomy is in - situ , unchanged in position compared to the prior studies . A right - sided PICC terminates in the proximal SVC . There are persistent bilateral mild to moderate pleural effusions . Difficult to assess the heart size on the current study but not grossly changed when compared to the prior study . Bilateral lower lobe a atelectasis is also unchanged . No pneumothorax seen .
    OUTPUT:
    
No significant interval change when compared to the prior study .