Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is further decrease in size of the small bilateral pleural effusions when compared to ___ . Vascular congestion as well as increased interstitial markings are without change . No new focal pneumonia identified . Evidence of prior sternotomy .
    OUTPUT:
    
Further improvement in the small bilateral pleural effusions . Otherwise , no change from ___ .