Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright AP and lateral views of the chest provided . Midline sternotomy wires again noted . There is again noted to be a moderate right pleural effusion and a small left pleural effusion . The left effusion appears slightly increased . Coarsened lung markings suggest a component of fibrotic lung disease . There is likely mild pulmonary edema . The heart size appears overall stable and mildly enlarged . The mediastinal contour is grossly within normal limits . The imaged bony structures are intact . In the upper abdomen , metallic biliary stents are in place .
    OUTPUT:
    
1 . Mild increase in small left pleural effusion . Stable moderate right pleural effusion . 2 . Mild cardiomegaly , mild pulmonary edema . 3 . Coarsened lung markings suggest fibrotic lung disease .