Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . Midline sternotomy wires and mediastinal clips are again noted . The right IJ central venous catheter has been removed . The previously noted pneumoperitoneum has resolved . Bilateral pleural effusions and bibasilar platelike atelectasis is again noted , not significantly changed . No pneumothorax . No definite signs of pneumonia , though given the bibasilar atelectasis , a subtle component of pneumonia is difficult to exclude . The cardiomediastinal silhouette appears stable . Bony structures are intact .
    OUTPUT:
    
No significant change in bibasilar atelectasis and small pleural effusions .