Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were provided . Midline sternotomy wires are again noted . The heart is poorly assessed , though remains enlarged . There are at least small bilateral pleural effusions . There may be mild interstitial edema . No pneumothorax . Bony structures are demineralized with kyphotic angulation in the lower T - spine again noted .
    OUTPUT:
    
Limited exam with small bilateral effusions , cardiomegaly , and possible mild interstitial edema .