Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the most recent radiograph performed approximately 24 hours prior to this exam , there is no significant change in degree of bilateral pleural effusion , with a small right - sided pleural effusion and a moderate - to - large left pleural effusion with associated left lower lobe atelectasis . No focal parenchymal opacities are seen in the aerated part of the lungs . There is no widening of the upper mediastinum . Assessment of cardiac size can not be performed due to obscuration of the left heart border . Sternotomy wires are intact . Mediastinal surgical clips are from recent CABG .
    OUTPUT:
    
No significant interval change in burden of bilateral pleural effusions , left worse than right , compared with exam performed 24 hours prior . Associated left basilar atelectasis is present , infection not excluded .