Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal radiograph of the chest shows unchanged monitoring and support devices . Bibasilar atelectasis with small left layering pleural effusion is again seen . No new area of focal consolidation concerning for pneumonia , is seen . The cardiac and mediastinal contours are relatively unchanged .
    OUTPUT:
    
Unchanged appearance with continued bibasilar atelectasis and small layering left pleural effusion .