Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest were obtained . The patient is status post median sternotomy with multiple fractured wires , unchanged . Clips are located in the left thorax . Stable enlarged cardiac silhouette . The lung fields are clear without focal consolidation or pulmonary edema . Pleural thickening located in the left lateral pleura , especially inferiorly . There are no adjacent changes in the ribs . There are no bony abdnormalities . There is no free air below the right hemidiaphragm .
    OUTPUT:
    
Pleural thickening of the left lateral pleura could represent a loculated effusion or prominent extrapleural fat . Stable enlarged cardiac silhouette .