Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are low lung volumes . Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis . There is persistent elevation of the right hemidiaphragm . The cardiac and mediastinal silhouettes are grossly stable . Patient is status post median sternotomy with the superior two most wires again seen to be fractured / deshiscence .
    OUTPUT:
    
Again seen bilateral loculated pleural effusions and right base opacity which may be due to atelectasis . Persistent elevation of the right hemidiaphragm .