Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Right - sided dual - lumen central venous catheter is again seen with tip in right atrium . There are small persistent bilateral pleural effusions . The lungs are clear of focal consolidation or frank pulmonary edema . The cardiac silhouette is enlarged but unchanged . Median sternotomy wires again noted . No acute osseous abnormalities .
    OUTPUT:
    
Small persistent bilateral effusions . No confluent consolidation .