Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to large bilateral pleural effusions are again noted . There is likely adjacent atelectasis . Superiorly , the lungs are clear . Cardiac silhouette is not well assessed due to silhouetting . Median sternotomy wires are noted with a fracture through the inferior most wire . Atherosclerotic calcifications seen at the aortic arch . No acute osseous abnormalities .
    OUTPUT:
    
Persistent moderate to large bilateral pleural effusions .