Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy and cardiac valve replacement . Dual lead left - sided pacemaker is stable in position . There has been interval decrease in bilateral pleural effusions with are now trace in extent . Bibasilar opacities has decreased in the interval . The cardiac silhouette remains enlarged . The aorta is calcified and tortuous .
    OUTPUT:
    
Interval decrease in bilateral pleural effusions which are now trace . Interval decrease in bibasilar opacities . No new opacity seen .