Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior chest radiograph , lung volumes are slightly lower , with unchanged positioning of the right IJ central line . Bibasilar atelectasis has progressed , with new small bilateral effusions . Cardiomediastinal silhouette is unchanged . No evidence of pneumothorax . Median sternotomy wires are intact .
    OUTPUT:
    
Worsened bibasilar atelectasis and pleural effusions .