Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube , feeding tube , and NG tube are in similar position to prior . Right PICC terminates in the mid SVC . Bilateral layering pleural effusions are large and similar to prior with adjacent atelectasis . Mild vascular congestion is similar to prior . No pneumothorax . Heart size and cardiomediastinal contours are stable .
    OUTPUT:
    
Large bilateral layering pleural effusions with adjacent atelectasis , similar to prior . Stable mild vascular congestion .