Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is moderately enlarged and slightly bigger than before . Bilateral small pleural effusions are increased in comparison to prior study from ___ . No focal consolidation or pneumothorax , but bilateral atelectatic changes are visualized with pleural effusions . No acute fractures identified .
    OUTPUT:
    
1 . Moderate cardiomegaly , increased in comparison to the prior study . Pericardial effusion could be present . 2 . Bilateral small pleural effusions , also increased in size in comparison to the prior study .