Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . The heart is markedly enlarged though stable . There is a small left pleural effusion which is similar to prior . There may also be a small right pleural effusion . No pneumothorax , focal consolidation or signs of pulmonary edema . Bony structures are intact . Mediastinal contour is stable . No free air below the right hemidiaphragm .
    OUTPUT:
    
Marked cardiomegaly , unchanged with small bilateral pleural effusions .