Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are stable with moderate cardiomegaly and widening mediastinum . Pacer leads are in standard position . Right PICC tip is in the lower SVC . Small right effusion has increased . There is no pneumothorax . There is no pulmonary edema .
    OUTPUT:
    
Increased size in small right effusion