Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . The patient is status post median sternotomy and aortic and tricuspid valve repair . There has been interval development / increase in bilateral , right greater than left , pleural effusions with overlying atelectasis . Right base opacity may relate to effusion and atelectasis , although underlying consolidation can not be excluded . The cardiac silhouette remains mildly enlarged . The aorta is calcified and tortuous . Displaced anterolateral left second rib fracture is again seen . There is minimal pulmonary vascular congestion .
    OUTPUT:
    
Interval increase / development of bilateral , right greater than left , pleural effusions with overlying atelectasis . Right base opacity may be due to a combination of pleural effusion and atelectasis , however , underlying consolidation can not be excluded . Cardiomegaly and minimal pulmonary vascular congestion .