Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a right Port - A - Cath , and a left IJ , both of which terminate in the lower SVC . The patient is status post median sternotomy and CABG , with sternotomy wires that appear intact and appropriately aligned . There is a dobhoff tube which courses below the diaphragm , however the tip is not visualized on this image . There are surgical clips in the right upper quadrant . There are bilateral pleural effusions , right worse than left , with fluid in the horizontal fissure , which appears to have worsened in comparison to the prior chest radiograph . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Right Port - A - Cath , left IJ , and dobhoff left tube in appropriate position . 2 . Worsening bilateral pleural effusions , right worse than left .