Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP semi upright view of the chest provided . There is no focal consolidation or pneumothorax . Right pleural effusion is similar to prior . There is a new moderate to large left pleural effusion . Cardiomegaly is similar to prior . Imaged osseous structures are intact . No free air below the right hemidiaphragm is seen .
    OUTPUT:
    
1 . There is a new moderate to large left pleural effusion . 2 . Right pleural effusion is similar to prior .