Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to chest radiograph from 1 day prior , right - sided IJ catheter has been removed . Right sided PICC remains near the cavoatrial junction / low SVC . Moderate bilateral pleural effusions , given for differences in positioning are not changed . Moderate cardiomegaly . No substantial pulmonary congestion . No pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly and bilateral layering effusion have not substantially changed given for differences in patient positioning . Bibasilar atelectasis is probably substantial , unchanged