Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . Lung volumes remain low with right basilar atelctasis as well as enlargement of main pulmonary artery and cardiac silhouette . There are small bilateral pleural effusions . No pneumothorax is identified . Surgical clips are again noted in the left upper quadrant .
    OUTPUT:
    
Exam unchanged with bilateral small pleural effusions and right basilar atelectasis and stable cardiomegaly .