Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy , left PICC line , right subclavian hemodialysis line and right chest tube are unchanged in position . Right apical pneumothorax , if present , is minimal . There are bilateral pleural effusions , left greater than right , unchanged with paramediastinal pleural fluid on the left accentuating heart size .
    OUTPUT:
    
No significant interval change since yesterday with right apical pneumothorax , if present , minimal .