Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of chest . Cardiac size is again mildly enlarged . There is no pneumothorax or evidence of pneumonia . Chronic cephalization of the pulmonary markings is seen , but no overt pulmonary edema is present . Hilar contours are within normal limits . Small bilateral pleural effusions are noted .
    OUTPUT:
    
Small bilateral pleural effusions and mildly enlarged heart .