Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate to severe cardiomegaly with tortuous aorta are unchanged . Pacemaker leads are in standard position . The left lung is clear . Moderate right pleural effusion is unchanged . . There is no pneumothorax . Patient is status post AVR . Sternal wires are aligned
    OUTPUT:
    
No acute cardiopulmonary abnormalities stable right effusion .