Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to most recent chest radiograph , there is little change . Unchanged small to moderate right pleural effusion . Unchanged small to moderate left pleural effusion . Unchanged bibasilar atelectasis and right hemidiaphragm elevation . Unchanged cardiomegaly and pulmonary vascular congestion . Median sternotomy wires are intact . Left pacemaker is intact with leads terminating in the right atrium , right ventricle and coronary sinus . No pneumothoraces .
    OUTPUT:
    
Unchanged interstitial edema and bilateral pleural effusions , right worse than left . Unchanged basilar atelectasis .