Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has had median sternotomy and CABG . The cardiomediastinal silhouette is unchanged in comparison to ___ study . A moderate layering left pleural effusion and associated lower lung atelectasis have increased since the most recent study . Right lower lobe atelectasis and a small right pleural effusion are stable . The upper lungs are clear . Interval removal of previously seen left PICC line is appreciated . No pneumothorax is seen .
    OUTPUT:
    
Increased moderate left pleural effusion and left lower lobe atelectasis with stable small right pleural effusion and associated atelectasis .