Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size can not be evaluated . It appears to be smaller than in prior study . Small bilateral effusions have decreased . There is no evident pneumothorax . The left hemidiaphragm is elevated as before . NG tube is coiled in the stomach . The tip could be also in the stomach but is not totally included in the film . Residual contrast is visualized in the right paraspinal region . Sternal wires are aligned .
    OUTPUT:
    
Decrease in size in pleural effusions which are likely loculated on the left .