Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has had prior median sternotomy with intact and aligned sternotomy wires . A right IJ central venous catheter extends into the right atrium . A right basilar chest tube remains in place . A small right apical pneumothorax is unchanged . A tiny left apical pneumothorax is new . Small bilateral pleural effusions with adjacent bibasilar subsegmental atelectasis . Bibasilar subsegmental atelectasis is slightly increased on the left . The heart and mediastinum are magnified by the projection . An old right clavicular fracture with metallic fixation device is unchanged .
    OUTPUT:
    
New small left apical pneumothorax . Stable small to moderate right pneumothorax . Stable small bilateral pleural effusions with bibasilar subsegmental atelectasis , slightly increased on the left .