Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small to moderate bilateral pleural effusions , right greater than left , are unchanged from earlier today . Superimposed atelectasis is again noted . There is no pneumothorax . The heart is severely enlarged . There is no evidence for pulmonary edema . A left pectoral AICD is noted with a a lead terminating in the right ventricle . There is no free air seen underneath the diaphragm .
    OUTPUT:
    
Unchanged small to moderate bilateral pleural effusions , right greater than left . No free air .