Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Midline sternotomy wires and mediastinal clips as well as a single - lead pacer device are unchanged in position . A vascular stent is again noted in the left axilla . There is blunting of the bilateral CP angles compatible with pleural effusion , significantly changed from prior exam . There is bibasilar opacity , most compatible with atelectasis or scarring . No new consolidation is seen . The cardiomediastinal silhouette is grossly unchanged . No acute bony abnormality is seen . No free air is seen below the right hemidiaphragm .
    OUTPUT:
    
No change from prior exam with bilateral pleural effusions redemonstrated , small in overall size .