Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison a chest radiograph from ___ , small - to - moderate right pleural effusion has mildly increased . Small left pleural effusion is new since ___ . The heart is somewhat larger without vascular engorgement or pulmonary edema , which could reflect either cardiomegaly or pericardial effusion . A pleural drainage catheter is in appropriate position . The left lung is clear . There is no focal consolidation or pneumothorax . The thoracic aorta is mildly tortuous .
    OUTPUT:
    
1 . Small - to - moderate right pleural effusion has mildly increased . 2 . New small left pleural effusion . 3 . Mild increase in heart size without signs of cardiac decompensation reflects either cardiomegaly or pericardial effusion .