Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . A small right pleural effusion is unchanged . There is no pulmonary edema or pulmonary vascular congestion . There is a small nodular opacity in the right lower lung . Enlarged cardiac silhouette likely from previously seen pericardial effusion is unchanged . No pneumothorax . The left lung is clear with a tiny left pleural effusion .
    OUTPUT:
    
1 . Unchanged small right pleural effusion and enlarged cardiac silhouette consistent with a pericardial effusion . Tiny left pleural effusion is unchanged . 2 . Small nodular opacity in the right lower lung , recommend CT for further evaluation . These findings were discussed with Dr . ___ by Dr . ___ at 12 : 58 pm on ___ by phone .