Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are sternotomy wires . There is a left - sided chest tube in place . There is no evidence of pneumothorax . Bibasilar opacities represent effusions and atelectasis . The cardiomediastinal silhouette is not enlarged . No acute osseous abnormalities are visualized . Subcutaneous emphysema is noted in the neck .
    OUTPUT:
    
No pneumothorax . Small bilateral effusions and atelectasis .