Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Multiple metallic coils are seen in the right upper quadrant . Bilateral layering pleural effusions are noted on the lateral projection . Overall there has been no significant change from the prior CT exam . Cardiomediastinal silhouette appears stable . Bony structures are intact .
    OUTPUT:
    
Bilateral pleural effusions as seen on recent CT exam .