Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are provided . The heart remains markedly enlarged . There is a small left pleural effusion which appears slightly increased from the prior exam . There is no pulmonary edema , focal consolidation or pneumothorax . Bony structures are intact . Mediastinal contour is normal . No free air below the right hemidiaphragm .
    OUTPUT:
    
Stable marked cardiomegaly with small left pleural effusion .