Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Midline sternotomy wires and mediastinal clips are noted . Bilateral pleural effusions are slightly increased with increasing hilar congestion and mild pulmonary edema . Underlying emphysema again noted . Cardiomediastinal silhouette is unchanged . Atherosclerotic calcification of the thoracic aortic knob . There are acute fractures involving the right fifth and sixth posterior rib arches , which are newly conspicuous . No pneumothorax .
    OUTPUT:
    
Increasing pleural effusions and pulmonary edema . Right fifth and sixth rib fractures appear acute .