Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Median sternotomy wires intact and aligned . NG tube extends into the stomach . Endotracheal tube ends 5 .6 cm above the carina . Left Swan - Ganz catheter ends in the pulmonary artery . Right large - bore catheter ends in the right atrium . New pulmonary vascular congestion without pulmonary edema . New , small right pleural effusion and atelectasis . Unchanged , large scale atelectasis in the left lower lobe . Increased , moderate left pleural effusion . Decreased , minimal pneumopericardium . Expected postoperative cardiomediastinal silhouette . No pneumothorax .
    OUTPUT:
    
New , small right pleural effusion and increased , moderate left pleural effusion . Increased pulmonary vascular congestion . Worsening left lower lobe collapse . Interval improvement in minimal pneumopericardium .