Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . There are small persistent bilateral effusions . Previously seen left basilar opacity is no longer visualized . The cardiac silhouette is enlarged but similar compared to prior . Lungs are clear of confluent consolidation . Old healed right - sided rib fractures are identified .
    OUTPUT:
    
Cardiomegaly and small bilateral effusions . No superimposed acute cardiopulmonary process .