Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Dual - lead right - sided AICD is again seen , leads unchanged in position . The patient is status post median sternotomy and CABG . Enlargement of the cardiomediastinal silhouette persists . There is mild - to - moderate pulmonary vascular congestion . There is blunting of the bilateral costophrenic angles suggesting small bilateral pleural effusions .
    OUTPUT:
    
Findings consistent with fluid overload including pulmonary vascular congestion , small bilateral pleural effusions and enlarged cardiac silhouette .