Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is massively enlarged , though not significantly changed compared with ___ . It is , however , considerably larger than on ___ . There is mild vascular plethora . Again seen is a small right effusion with underlying collapse and / or consolidation and minimal blunting of the left costophrenic angle with some patchy opacity at the left base as well . The hila are prominent somewhat indistinct , but unchanged compared with the ___ radiograph .
    OUTPUT:
    
1 . Marked cardiomegaly , considerably increased compared with ___ . Is there concern for pericardial effusion ? 2 . Small bilateral effusions , with bibasilar patchy opacities , unchanged compared with ___ at 22 :36 .