Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiographs on ___ , there is worsening of mild cardiomegaly . There is a small right pleural effusion , similar to prior . There is no overt pulmonary edema . There is no focal consolidation or pneumothorax . Patient 's known lung nodules are better evaluated on CT chest on ___ . The aorta is tortuous , without evidence of focal aneurysm . Multiple left - sided healed rib fractures are seen .
    OUTPUT:
    
No pneumonia . Worsening mild cardiomegaly with small right pleural effusion .