Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate left pleural effusion . No focal consolidation or right pleural effusion is present . No pneumothorax is present . The heart size is normal . Patient is status post median sternotomy with fracture of the ___ wire down and with the most inferior wire rotated clockwise compared with other wires . Unable to evaluate the chronicity of the effusion or broken sternal wire as no priors exist in our system .
    OUTPUT:
    
1 . Moderate left pleural effusion . 2 . Fractured ___ median sternotomy wire and clockwise rotation of most inferior wire compared with others raising question about alignment , unsure of chronicity given lack of prior imaging in our system .