Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval reaccumulation of a large right pleural effusion , which involves and expands the right major fissure . There is also a small left pleural effusion . Note is made of surgical clips throughout the mediastinum as well as a sternotomy wires . There is no pneumothorax or pulmonary vascular congestion .
    OUTPUT:
    
1 . Reaccumulation of a large right pleural effusion , which involves and expands the right major fissure . 2 . Small left pleural effusion .