Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and there has been overall improvement in bilateral vascular congestion . There has been interval improvement in the bilateral pleural effusions , with the left pleural effusion nearly resolved . A small right pleural effusion persists . Cardiomegaly is again seen and is stable . The patient has been intubated since previous exam , and an NG tube has been removed and replaced with a new feeding tube . Severe destruction of the left humeral head is noted .
    OUTPUT:
    
Left pleural effusion nearly resolved . Small right pleural effusion remains . Improved vascular congestion . Stable cardiomegaly .