Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and transcatheter aortic core valve device placement which remains unchanged in appearance . Heart size remains moderately enlarged . Mediastinal contours on similar . There is moderate pulmonary vascular congestion which appears slightly worse in the interval . Trace bilateral pleural effusions are noted . Patchy atelectasis is noted in the lung bases . No pneumothorax is present . There are no acute osseous abnormalities .
    OUTPUT:
    
Slight interval worsening of moderate pulmonary vascular congestion and small bilateral pleural effusions with bibasilar atelectasis .