Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy and Dobbhoff tube are in unchanged position . There is a new right jugular line ending in lower SVC . There is no pneumothorax . Right moderate pleural effusion is unchanged . Left severe pleural effusion has increased . There is bibasilar atelectasis .
    OUTPUT:
    
1 . Tube and lines are in adequate position . 2 . Increase in severe left pleural effusion and unchanged right moderate pleural effusion . 3 . Bibasilar atelectasis . Superimposed infection can not be excluded .