FINDINGS:
There are low lung volumes.  Again seen bilateral loculated pleural effusions
 and right base opacity which may be due to atelectasis.  There is persistent
 elevation of the right hemidiaphragm.  The cardiac and mediastinal silhouettes
 are grossly stable.  Patient is status post median sternotomy with the
 superior two most wires again seen to be fractured/ deshiscence.

IMPRESSION:
Again seen bilateral loculated pleural effusions and right base opacity which
 may be due to atelectasis.  Persistent elevation of the right hemidiaphragm.