Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided chest tube is in satisfactory position . The lung volume is small . Right layering pleural effusion is small . Left pleural effusion and left lower lobe atelectasis are mild . No pneumothorax . Cardiomegaly is severe . Stomach is significantly distended .
    OUTPUT:
    
1 . Bilateral mild pleural effusion . No pneumothorax . 2 . Significantly distended stomach .