Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior , there has been no significant interval change . Moderate left and small right pleural effusions are again seen with adjacent atelectasis . There is mild pulmonary edema , also similar . Moderate cardiac enlargement and atherosclerotic calcifications are noted . Median sternotomy wires are intact . Compression deformity in the lower thoracic spine is unchanged since ___ .
    OUTPUT:
    
No significant interval change since yesterday 's exam with moderate left and small right pleural effusions and mild pulmonary edema .