Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly and the mediastinal and hilar contours are similar to prior exam . The pulmonary vasculature is normal . Large left pleural effusion has progressed mildly since prior exam . Fluid in the fissures has progressed since prior exam . No focal consolidation or pneumothorax . Median sternotomy wires are intact .
    OUTPUT:
    
Worsened left effusion . No good evidence for edema .