Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy , CABG , with epicardial pacing leads noted projecting over the left heart border . Severe cardiomegaly is relatively unchanged compared to the previous study . Atherosclerotic calcifications are noted at the aortic knob . There is mild pulmonary vascular congestion , unchanged . Small pleural effusions are likely similar . There is no pneumothorax . No focal consolidation is present . No acute osseous abnormality is present .
    OUTPUT:
    
Mild pulmonary vascular congestion and small bilateral pleural effusions , relatively unchanged from previous study . No focal consolidation .