Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . When compared to prior , there has been no significant interval change . There are bilateral right greater than left effusions with pulmonary vascular congestion . Given lordotic positioning , the lungs are clear and the cardiomediastinal silhouette has not definitely changed . Median sternotomy wires are again seen with fracture of the second wire from the top as on prior . No acute osseous abnormality is identified .
    OUTPUT:
    
Persistent right greater than left effusions and pulmonary vascular congestion without definite superimposed acute process .