Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is markedly rotated to the left . There are low lung volumes . Small bilateral pleural effusions likely persists . There is persistent prominence of the interstitial markings , possibly slightly improved as compared the prior study , suggesting interstitial edema . The cardiac and mediastinal silhouettes are stable . The patient is status post median sternotomy . There is a nondisplaced lateral right eighth rib fracture .
    OUTPUT:
    
Markedly rotated patient , limiting evaluation . Given this , small bilateral pleural effusions . Interstitial edema appears slightly improved . Nondisplaced lateral right eighth rib fracture .