Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly , as before . The aorta is calcified , indicating atherosclerosis . There are midline sternotomy wires . The inferior most sternotomy wire is fractured , as before . There are moderate to large bilateral pleural effusions with adjacent atelectasis , not significantly changed compared to ___ . The pulmonary vasculature is normal . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
Unchanged moderate to large bilateral pleural effusions .