Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle . In the interim from the most recent prior study , a right internal jugular line has been removed . Bilateral moderate pleural effusions are slightly increased from ___ with potentially increase in mild pulmonary edema . No definitive evidence of pneumothorax is seen . The cardiac silhouette is incompletely evaluated in the setting of bilateral pleural effusions . The mediastinal contours are within normal limits and unchanged with calcification of the aortic knob . The patient is status post median sternotomy with discontinuous inferior most sternal wire , unchanged . There are acute mildly displaced fractures of the right posterior fifth and sixth ribs as well as the lateral right lower ribs , possibly seventh and eighth . No displaced left - sided rib fractures are identified .
    OUTPUT:
    
1 . Acute mildly displaced fractures of the right posterior fifth and sixth ribs and the right lateral lower ribs , possibly seventh and eighth . 2 . No definitive evidence of pneumothorax . 3 . Slightly increased bilateral modearte pleural effusions and mild pulmonary edema from ___ .