Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Redemonstrated is a right internal jugular line with the tip seen extending into the upper to mid SVC . The patient is status post CABG and AVR with sternotomy wires , CABG clips , and an aortic valve replacement identified . As compared to the prior examination , there has been interval improvement in the vascular congestion . Bilateral pleural effusions are again noted , left greater than right . There is no evidence of pneumothorax or focal consolidation . There is stable , moderate cardiomegaly . The mediastinal contours are within normal limits status post cardiac surgery .
    OUTPUT:
    
1 . Stable cardiomediastinal contours , status post CABG . 2 . Bilateral pleural effusions , left greater than right . 3 . Improved , now mild vascular congestion .