Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Sternotomy wires are intact . Moderate cardiomegaly is similar to prior . Large right pleural effusion is new since the prior exam with right base opacity consistent with atelectasis though infection is not excluded . There is a loculated left pleural effusion with left mid and lower lung opacity . The pulmonary vascular structures are prominent , consistent with congestion . No pneumothorax . No displaced rib fracture .
    OUTPUT:
    
1 . Large right and small partially loculated left pleural effusion with bibasilar opacities , either atelectasis or infection . 2 . Pulmonary vascular congestion and moderate cardiomegaly .