Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable . Patient is status post aortic valve repair . Mitral annular calcifications are again seen . Bilateral pleural effusions , right greater than left , have increased since the prior study . Mild interstitial prominence is again seen , slightly increased since the prior study and indicative of mild pulmonary edema . Patient is status post median sternotomy . Surgical clips overlying the right axilla and epigastric regions are again present .
    OUTPUT:
    
Increased bilateral effusions with associated atelectasis and mild pulmonary edema .