Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and aortic valve surgery . Cardiomediastinal contours are within normal limits for postoperative status of the patient . Right internal jugular vascular sheath has been removed , with no visible pneumothorax . Permanent pacemaker is unchanged in position . Bilateral moderate - sized pleural effusions are present with adjacent basilar atelectasis . As compared to the recent single view portable chest x-ray , this appears slightly worse on the right and slightly improved on the left .
    OUTPUT:
    
Bilateral moderate pleural effusions with adjacent bibasilar atelectasis .