Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Given changes in patient positioning , moderate bilateral pleural effusions are probably unchanged . The retrocardiac area is not well seen , possibly due to technical factors . Heart size is top - normal . No pulmonary edema . Cardiomediastinal hilar silhouettes are unremarkable . A left IJ central venous catheter terminates in the brachiocephalic vein near its confluence with the SVC .
    OUTPUT:
    
Probably unchanged moderate pleural effusions given changes in patient positioning . Retrocardiac area not well evaluated , possibly due to technical factors . In the appropriate clinical setting , atelectasis or consolidation could be considered . A left IJ central venous catheter terminates in the brachiocephalic vein near its confluence with the SVC .