Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral radiographs of the chest demonstrate low lung volumes resulting in bronchovascular crowding . The low lung volumes accentuate the cardiac silhouette . There are small bilateral pleural effusions . There is adjacent atelectasis in the left base . Chest tubes project over the left hemithorax . There is no definite pneumothorax . Subcutaneous emphysema has not changed significantly over the interval . A right - sided internal jugular central venous line and the distal SVC . Median sternotomy wires are in place . Subcutaneous gas is present in the bilateral supraclavicular soft tissues .
    OUTPUT:
    
Small bilateral pleural effusions without evidence of pneumothorax .