Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are no significant changes since the prior radiograph on ___ . Moderate to severe right pleural effusion with adjacent atelectasis is again noted . Stable loculated left pleural effusion and left lung base atelectasis . No pneumothorax . Stable cardiomegaly . Median sternotomy wires and prosthetic aortic valve are unchanged in appearance . No acute osseous abnormalities .
    OUTPUT:
    
No significant interval change in moderate / severe right effusion . Stable loculated left effusion .