Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Midline sternotomy wires are again noted . Bilateral pleural effusions again noted . There is an ovoid opacity within the right mid - to - lower lung which is slightly increased from prior study and could represent a pseudotumor ( loculated fluid within the fissure ) . Consider CT to further assess . The cardiomediastinal silhouette appears stable . No pneumothorax . Bony structures are intact .
    OUTPUT:
    
Bilateral pleural effusions are small , with increasing size of ovoid opacity in the right mid lung , which likely represents loculated pleural fluid , though given lack of confirmation of this finding , a CT of the chest may be performed to further assess .