Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Status post mitral valve replacement with intact sternotomy wires . The heart remains enlarged . There are small bilateral pleural effusions with associated atelectasis . Biapical small pneumothoraces have resolved . There is no focal consolidation .
    OUTPUT:
    
Resolved apical pneumothoraces . Small bilateral pleural effusions and cardiomegaly .