Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a small right pleural effusion . Peribronchial cuffing and fissural density suggests fluid overload . Pulmonary vascular cephalization is again noted . Mild cardiomegaly and aortic tortuosity are also again noted . No definite focal consolidation or pneumothorax is detected . The lungs are again noted to be hyperinflated .
    OUTPUT:
    
1 . Stable cardiomegaly and vascular cephalization with new peribronchial cuffing and fissural density , which are likely secondary to fluid overload ; peribronchial cuffing can also be seen with bronchiolitis . 2 . Small right pleural effusion . These findings were discussed with Dr . ___ ___ by Dr . ___ by telephone at 3 : 10 p .m . on ___ .