Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip is 3 cm above the carina and is normal . Right - sided PICC line tip is at mid SVC . Both lung volumes are low . Bilateral small effusions and accompanying bibasilar atelectasis , left side more than right side have not really changed much since ___ . Previously positioned left - sided pigtail catheter has been removed . No pneumothorax . Cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
Bilateral small pleural effusion and accompanying atelectasis , left side more than right , have not really changed since ___ . Left pigtail catheter has been removed and there is no pneumothorax .