Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the ___ examination , there little change of moderate - sized bilateral pleural effusions . The cardiac and mediastinal contours are unchanged . Multiple intact sternal wires are again seen . Posterior and anterior cervical fusion hardware is unchanged in orientation . Mild - to - moderate adjacent atelectasis at the lung bases is stable , slightly worse at the left . There is no pneumothorax .
    OUTPUT:
    
Minimally changed moderate bilateral pleural effusions with adjacent atelectasis . No pulmonary edema .