Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph ___ at 10 :53 is submitted .
    OUTPUT:
    
The heart is likely stably enlarged despite marked patient rotation on the current study . The patient is status post median sternotomy . There are layering bilateral effusions with patchy bibasilar airspace disease likely reflecting compressive atelectasis . There has been interval decrease in the mild pulmonary and interstitial edema . There is of residual perihilar vascular fullness suggestive of a fluid replete state . No pneumothorax .