Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . The degree of pulmonary vascular engorgement is unchanged . The left greater than right pleural effusions are not significantly changed . The cardiomediastinal silhouette is stable . Median sternotomy wires and mediastinal clips are again seen .
    OUTPUT:
    
No significant interval change . Bilateral left greater than right effusions with pulmonary vascular congestion .