Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The sternotomy wires appear intact and appropriately aligned . The patient is status post mitral and tricuspid valve replacement . There are 3 right - sided chest tubes , which appear unchanged in orientation in comparison to the prior chest radiograph . The loculated right pleural effusion appears unchanged in comparison to the prior chest radiograph . There are linear opacities at the left base , which reflect atelectasis . The left lung is otherwise clear . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Unchanged orientation of the 3 right - sided chest tubes without pneumothorax . 2 . Unchanged appearance of loculated right pleural effusion .