Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Swan - Ganz catheter is been removed . Sternal wires are again visualized . There is mild cardiomegaly . There bilateral pleural effusions right greater than left with volume loss in both lower lobes , right more so than left . There is mild pulmonary vascular redistribution . Compared to the prior exam the amount of volume loss in the lower lobes has increased but the vascular plethora has decreased
    OUTPUT:
    
Persistent bilateral effusions and lower lobe volume loss