Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are better expanded than before . Interstitial markings remain prominent . There is also blunting of the costophrenic sulci consistent with small effusions . There is no focal consolidation . The heart appears large , but cardiac size may be exaggerated by AP technique . The patient is status post median sternotomy . The aorta is tortuous and calcified . Mediastinal structures are stable the bony thorax is grossly intact . A double - lumen right internal jugular catheter is been inserted thickening , terminating at the level the cavoatrial junction . There are no concerning bone findings .
    OUTPUT:
    
Continued evidence of pulmonary vascular congestion . There is evidence of small bilateral pleural effusions .