Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is status post median sternotomy , CABG , and placement of several epicardial leads . Left - sided AICD device is noted with single lead terminating in the right ventricle . Dual lumen right subclavian central venous catheter tip terminates in the lower SVC . Heart size remains mild to moderately enlarged . Mediastinal and hilar contours are unremarkable . There is mild pulmonary vascular congestion without overt pulmonary edema . Small bilateral pleural effusions are unchanged from the previous radiograph . There is no focal consolidation or pneumothorax . Minimal atelectasis is noted in the lung bases .
    OUTPUT:
    
Small bilateral pleural effusions and mild pulmonary vascular congestion .