Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are obtained . The patient is status post median sternotomy and CABG . Dual - lead left - sided pacemaker is again seen , relatively stable in position . The cardiomediastinal silhouette is stably enlarged . There are small bilateral pleural effusions , left greater than right . Interval removal of previously seen right internal jugular central venous catheter .
    OUTPUT:
    
Bilateral pleural effusions . Enlarged cardiac silhouette . No definite focal consolidation , although left - sided consolidation would be difficult to exclude .