Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . Severe cardiomegaly is stable in configuration . Lungs are clear of focal consolidation . There are , however , moderate bilateral effusions , larger on the right than on the left and likely slightly enlarged from prior . Left chest wall dual - lead pacing device is unchanged . No acute osseous abnormality is identified .
    OUTPUT:
    
Persistent right greater than left pleural effusions , potentially slightly enlarged compared to prior and severe cardiomegaly without superimposed acute cardiopulmonary process .