Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Low bilateral lung volumes with bilateral pleural effusions and adjacent atelectasis , not significantly changed from prior . A left PICC line base present , the tip projecting expected location of the superior cavoatrial junction . The cardiac silhouette is obscured by the bilateral pleural effusions and low lung volumes . No pneumothorax .
    OUTPUT:
    
Low lung volumes with bilateral pleural effusions and adjacent atelectasis , not significantly changed since prior .