Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy with multiple intact appearing sternal wires . A tracheostomy is off midline to the right and small relative the diameter of the trachea . There is bibasilar opacification with hazy opacification extending to the mid lung zones right greater than the left is compatible with layering pleural effusions and bibasilar atelectasis . Concurrent pneumonia is not excluded in the appropriate clinical context . There is mild pulmonary vascular and mediastinal venous congestion . The cardiac silhouette is partially obscured but appears enlarged . A partially imaged drainage catheter is noted in the right upper quadrant .
    OUTPUT:
    
1 . Small - to - moderate bilateral pleural effusions , mild pulmonary and mediastinal vascular congestion , and mild cardiomegaly . 2 . Bibasilar atelectasis more likely than pneumonia . 3 . Tracheostomy cannula may be too small and offline . Clinical evaluation needed .