Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior radiograph , there has been little change in the overall appearance . A large right and smaller left pleural effusion are identified , both of underlying atelectasis or consolidation . The right PICC line tip projects over the mid SVC . No pneumothorax detected . A catheter or other tubing overlying the upper abdomen is partially imaged ; it is unclear if this is internal or external to the patient .
    OUTPUT:
    
Grossly unchanged large right and smaller left pleural effusions with underlying collapse and or consolidation . No evidence of pneumothorax . In the correct clinical setting , pneumonia can not be excluded .