FINDINGS:
There are small bilateral pleural effusions, similar to prior.  Streaky left
 basilar opacity is most suggestive of atelectasis.  The lungs are otherwise
 clear without consolidation worrisome for pneumonia.  There is mild pulmonary
 vascular congestion without overt edema.  Cardiomediastinal silhouette is
 stable.  Median sternotomy wires and mediastinal clips are noted.

IMPRESSION:
Persistent small bilateral effusions without overt pulmonary edema or focal
 consolidation worrisome for infection.