Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior exam , the patient has been extubated and NG tube has been removed . Right jugular line ends in the right atrium and is unchanged . Moderate bilateral pleural effusion with bibasilar atelectasis is stable . There is no pneumothorax . Mediastinal and cardiac contour mild enlargement is unchanged in this patient with recent sternotomy .
    OUTPUT:
    
Except for extubation and NG tube removal , there is no significant change since prior exam .