Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since ___ , all support devices have been removed . Mild fibrotic changes and linear atelectasis are unchanged . A small left pleural effusion is seen . Mild cardiomegaly persists . No evidence of pneumothorax , pneumonia , or pulmonary edema . Median sternotomy wires are intact and well aligned .
    OUTPUT:
    
Interval removal of all support devices and new small left pleural effusion . No pneumonia or pulmonary edema .