Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient status post median sternotomy and mechanical AVR . There has been interval removal of a right jugular central venous catheter . Normal postoperative cardiomediastinal silhouette is stable to improved when compared to ___ study . Bilateral small pleural effusions with adjacent atelectasis best seen on lateral radiograph . No focal opacities or pneumothorax . The hila are normal .
    OUTPUT:
    
Bilateral small pleural effusions with adjacent atelectasis .