Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were obtained . Midline sternotomy wires and mediastinal clips are again noted . There is obscuration of the left CP angle on the lateral view which could indicate a small effusion . Areas of linear density in the left lower lung could be secondary to areas of scarring or plate - like atelectasis . Tine right effusion persists . No definite signs of pneumonia or CHF . Cardiomediastinal silhouette appears stable . Bony structure is intact .
    OUTPUT:
    
Stable exam with tiny b / l pleural effusions and lower lung plate - like atelectasis versus scarring .