Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is unchanged appearance of mildly enlarged mediastinal silhouette likely secondary to tortuous and dilated thoracic aorta , with stable minimal calcifications seen . Again seen is significant enlargement of cardiac silhouette , with unchanged marked lateral movement of right heart border suggesting right ventriculomegaly , better seen on prior CT , stable in appearance . There is evidence of small pericardial effusion better appreciated on prior CT . The bilateral hila are normal . The right basilar opacity previously noted has resolved . There are stable small bilateral pleural effusions as seen on prior CT exam . There are no new focal lung consolidations . There is no evidence of pulmonary vascular congestion . There is no pneumothorax
    OUTPUT:
    
No evidence of new acute cardiopulmonary process .