Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval development of a small - moderate right pleural effusion with adjacent atelectasis . There is no lobar consolidation , pneumothorax , or frank pulmonary edema identified . Redemonstrated are postsurgical changes in including chain sutures along the upper right mediastinum . Median sternotomy wires are noted , with an unchanged fracture through the superior most wire . Elevation of the right hemidiaphragm and right basilar scarring is unchanged , likely also postsurgical . The cardiomediastinal silhouette is within normal limits . Degenerative changes are seen within the bilateral acromioclavicular and glenohumeral joints .
    OUTPUT:
    
1 . Interval development of a right small effusion with adjacent atelectasis . No focal consolidation or pneumothorax . 2 . Postsurgical changes , as above .