Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Evaluation is slightly limited by patient rotation . Patient is status post median sternotomy and CABG . A right - sided pacemaker device is noted with single lead terminating in the region of the right ventricle . Additional abandoned lead is noted within the right anterior chest . Moderate enlargement of cardiac silhouette is re - demonstrated . Mediastinal and hilar contours are grossly unchanged . There is mild pulmonary vascular congestion with small bilateral pleural effusions . Bibasilar atelectasis is also demonstrated . No pneumothorax is visualized . Extensive degenerative changes are noted involving both shoulders . There are multilevel degenerative changes also identified within the imaged thoracic spine .
    OUTPUT:
    
Mild pulmonary vascular congestion and small bilateral pleural effusions with bibasilar atelectasis .