Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior chest radiograph , there is a new large right pleural effusion . There is a small left pleural effusion . There is no evidence of pulmonary edema or consolidation . There is no pneumothorax . The cardiac size is likely enlarged , although not well evaluated due to the adjacent pleural effusion . The azygos vein is enlarged . A left hemodialysis catheter ends at or just beyond the atriocaval junction . Sternal wires are intact . Prominent loops of bowel are noted in the left upper quadrant .
    OUTPUT:
    
1 . New large right and small left pleural effusions . 2 . Enlarged azygos vein . Given known pericardial effusion , this raises a concern for tamponade physiology . Recommend clinical correlation . In addition , on review of the prior exams , calcification of a possible bicuspid aortic valve is identified and of unclear hemodynamic significance . Results were discussed with Dr . ___ at 11 :22 a .m . on ___ via telephone by Dr . ___ ___ minutes after the findings were discovered .