Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs demonstrate a right internal jugular central catheter with the tip in the mid to upper SVC , as well as multiple sternotomy wires and surgical clips . There is moderate cardiomegaly . Again seen are bilateral small to moderate pleural effusions , with decrease in size of the left pleural effusion . There is no focal consolidation . On lateral view , anterior air - fluid levels are likely within the pleural space , representing a small pneumothorax and effusion .
    OUTPUT:
    
Small left pneumothorax and bilateral small to moderately sized pleural effusions , with slight decrease in the left pleural effusion . These findings were communicated via telephone by ___ , MD , to ___ ___ , NP , at ___ on ___ .