Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG . Heart size remains moderately enlarged . Mediastinal contour is unchanged with unfolding of the thoracic aorta . Volume loss in the right lung is again demonstrated . There is continued right pleural thickening laterally and inferiorly with fluid overlying the right apex , not substantially changed in the interval . Streaky bibasilar airspace opacities may reflect atelectasis . There may be minimal pulmonary vascular congestion without overt pulmonary edema . There is no left - sided pleural effusion . No pneumothorax is present . There are mild degenerative changes in the thoracic spine .
    OUTPUT:
    
No substantial interval change compared to the previous study .