Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates a large stable left - sided and small right - sided pleural effusions with adjacent atelectasis . Slight vascular engorgement is stable The cardiomediastinal and hilar contours are unchanged . There is no pneumothorax .
    OUTPUT:
    
Stable vascular engorgement and large left and small right pleural effusion with adjacent atelectasis .