Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The large right loculated pleural effusion is unchanged from yesterday . Blunting of the left costophrenic angle likely reflects a small left pleural effusion . The cardiac silhouette remains moderately enlarged . There is worsening of moderate pulmonary edema . Evidence of prior sternotomy and coronary pericardial stripping is unchanged .
    OUTPUT:
    
1 . Unchanged , large right loculated pleural effusion . 2 . Worsened moderate pulmonary edema . 3 . Focal opacity of the right upper lung may reflect asymmetric pulmonary edema or a secondary process such as infection . Evaluation after diuresis is recommended .