Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Pneumoperitoneum has progressed . Aortic valve is unchanged . Sternotomy wires are unchanged . Bibasilar atelectasis in place . Bilateral small pleural effusions likely not significantly changed from most recent study . No focal consolidations . Upper lung zones are clear . The cardiomediastinal and hilar contours are stable .
    OUTPUT:
    
1 . Progression of pneumoperitoneum . 2 . Small bilateral pleural effusions with adjacent atelectasis are not significantly changed . These findings were discussed with ___ by Dr . ___ at 4 :07 pm on ___ by phone .