Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient status post sternotomy . The superior sternal suture has fractured though no good evidence of diastases is suggested . There is cardiomegaly . There is a small left - sided pleural effusion in . There is minimal peribronchial cuffing and upper lobe blood venous diversion . Is more focal right lower represent a developing infection . No specific evidence of the tuberculosis clinically questioned
    OUTPUT:
    
There appears to degree of fluid overload - repeat radiograph after ultrafiltration may be helpful