Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pneumothorax . Obscuration of the right hemidiaphragm in this supine chest radiograph is likely due to a small right effusion . A moderate - sized left pleural effusion is larger . There is stable widening of the cardiomediastinal silhouette secondary to an enlarged heart and thoracic aortic aneurysm . The endotracheal tube terminates 7 cm above the carina . Nasogastric tube courses through the stomach and out of view .
    OUTPUT:
    
New small right effusion and mild worsening of the moderate left pleural effusion . No pneumothorax .