Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi supine chest radiograph ___ at 22 :00 is submitted .
    OUTPUT:
    
Endotracheal tube has its tip approximately 5 cm above the carina . There are multiple fractured sternal wires as well as plating on both sides suggestive of sternal dehiscence . The heart remains enlarged . Diminished lung volumes with crowding of the pulmonary vasculature and patchy bibasilar opacities suggestive of atelectasis . No overt pulmonary edema . Small bilateral effusions are better seen on the chest CT of ___ . No pneumothorax , although the sensitivity to detect pneumothorax is diminished given semi supine technique .