Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval removal of a nasogastric tube . Median sternotomy wires are intact . Stable , severe cardiomegaly . Stable , moderate bilateral pleural effusions . Improving bibasilar opacification . Stable enlargement of the thoracic aorta . Multiple right healed rib fractures are again seen . No pneumothorax .
    OUTPUT:
    
Unchanged , moderate bilateral pleural effusions with stable bibasilar opacification .