Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable chest radiograph demonstrates interval removal of left IJ . The right central line is seen with its tip in the low superior vena cava . The cardiomediastinal hilar contour is unchanged . There is basilar atelectasis with unchanged pulmonary edema . Likely bilateral effusions worse on the left . No pneumothorax .
    OUTPUT:
    
No significant clinical changes .