Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP view of the chest provided . Sternal wires are in standard alignment and are in unchanged positions compared to prior radiographs . Left apical pneumothorax is stable . Persistent bibasiar atelectasis is again seen . There are small pleural effusions seen bilaterally .
    OUTPUT:
    
Sternal wires in standard alignment . If clinical suspicion for dehiscence persists , consider CT which is more sensitive .