Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is had a median sternotomy and CABG . Surgical clips are seen throughout the mediastinum . The hila are unremarkable . A moderate right layering pleural effusion is seen with right lower lobe volume loss . Left pectoral biventricular ICD generator obscures the lower left lung . The upper lungs are clear . ICD leads terminate in the inferior right atrium , right ventricle , and coronary sinus . No pneumothorax is seen .
    OUTPUT:
    
Moderate right layering pleural effusion and subsequent right lower lobe volume loss and no evidence of pulmonary edema .