Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding . There is a large right - sided pleural effusion with adjacent atelectasis . There is a small left - sided pleural effusion with adjacent atelectasis as well . There is no pneumothorax . The cardiomediastinal and hilar contours are unchanged . A left - sided internal jugular central venous line ends at the origin of the SVC . Known calcified hepatic cyst projects over the right upper quadrant .
    OUTPUT:
    
Large right - sided pleural effusion with adjacent atelectasis , and small left - sided pleural effusion with adjacent atelectasis .