Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Small - to - moderate bilateral pleural effusions persist . There is persistent bibasilar atelectasis , left greater than right . Heart size is enlarged . No pneumothorax is detected . Sternal wires and mediastinal clips are again noted .
    OUTPUT:
    
Persistent small to moderate bilateral pleural effusions and bibasilar atelectasis , left greater than right .