Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy as well as sternal revision procedure . One residual transverse sternal plate with interlocking screw is present , but two previous similar plates have been removed . A disrupted sternal wire remains in place in the region of the lower sternum . Cardiomediastinal contours are stable in appearance . Multifocal patchy and linear atelectasis in the left mid and both lower lungs have slightly worsened . Small pleural effusions are present bilaterally , but there is no visible pneumothorax .
    OUTPUT:
    
1 . Postoperative changes in the sternum as described . 2 . Multifocal atelectasis and small bilateral pleural effusions .