Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Median sternotomy wires are unchanged from prior . Left - sided chest tube is unchanged in position as compared to prior . Small right pleural effusion is largely unchanged . No pneumothorax is seen . The left pleural effusion is more pronounced moderate in size , but slightly increased from prior There is no parenchymal consolidation . Cardiomediastinal silhouette appears unchanged .
    OUTPUT:
    
Bilateral pleural effusions , the right is stable and small and the left is moderate and slightly increased . Chest tube is in place without pneumothorax .