Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior chest radiograph , there has been interval placement of a right - sided dialysis line , with tip in the right atrium . There are persist bilateral pleural effusions , moderate on the left and small on the right , as well as unchanged moderate cardiomegaly and pulmonary vascular congestion . Adjacent bibasilar atelectasis is unchanged . Aortic arch calcifications and left distal clavicular deformity from remote fracture are unchanged .
    OUTPUT:
    
1 . Persistent moderate left and smaller right pleural effusions , with cardiomegaly , pulmonary vascular congestion , and adjacent atelectasis . 2 . Interval placement of a right - sided dialysis line , with tip in the right atrium .