Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient has had sternotomy for CABG in the past few weeks . The second from the bottom sternotomy wire is difficult to see and might be fractured , though not displaced , readily evaluated by physical examination of surgical wound . There is no pneumothorax , pulmonary edema or upper mediastinal widening . The extent of cardiomegaly and postoperative change are difficult to assess because of lordotic positioning and mediastinal fat . The left basal pleural interface is now obscured , perhaps another artifact of patient position , but particularly because the lateral view on ___ showed left basal atelectasis and pleural effusion , and there is mild leftward shift of the heart , I strongly recommend conventional ___ and Lateral views to look for left lower lobe collapse .
    OUTPUT:
    
Suggest conventional radiographs to assess interval enlargement of cardiac silhouette , and extene of left lower lobe atelectasis . D / W ___ ___ ___ by phone at the time of approval .