Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral dependent pleural effusions as well as fluid in the major and minor fissures on the right are likely unchanged with minimal accompanying atelectasis . Post - surgical changes from prior CABG , AVR and MVR with intact sternotomy wires are seen . Left PICC in appropriate position with tip near the superior cavoatrial junction . Upper quadrant clips are seen . No pneumothorax identified . Heart remains mildly enlarged .
    OUTPUT:
    
Unchanged bilateral pleural effusions .