Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left porta cath is accessed and terminates in the low SVC . Right hemodialysis catheter terminates in the right atrium . There are large layering bilateral pleural effusions , right greater than left , with associated relaxation atelectasis . The heart borders are obscured .
    OUTPUT:
    
1 . Large bilateral pleural effusions , right greater than left , with associated atelectasis . 2 . Diffuse bilateral opacities can be accounted for by the effusions . On the same - day CT of the abdomen and pelvis there is no evidence of pulmonary edema in the included lung fields .