Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post prior median sternotomy and aortic valve replacement . There has been interval removal of the right internal jugular sheath . Small bilateral pleural effusions are present with subjacent atelectasis . No pneumothorax or evidence of pulmonary edema are identified . The size of the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
Small bilateral pleural effusions with subjacent atelectasis .