Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are bilateral chest tubes in - situ . The left - sided chest tube has withdrawn slightly and unfolded but still appears to be within the pleural space . Bilateral pleural effusions are similar in appearance when compared to the prior study . No pneumothorax seen . The pleural effusions limit assessment of the cardiomediastinal contour . A right - sided PICC terminates in the distal SVC or right atrium .
    OUTPUT:
    
On folding of the left - sided chest strain . Persistent bilateral pleural effusions .