Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded . Pulmonary vascular enlargement is stable compared to the prior study . Small left pleural effusion has resolved . The heart is markedly enlarged , similar compared to the prior , allowing for differences in technique . A left chest wall Port - A - Cath terminates at the cavoatrial junction , unchanged . There is no pneumothorax or focal consolidation .
    OUTPUT:
    
No acute change since the prior study . Left pleural effusion has resolved .