Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Moderate cardiomegaly is again noted with small to moderate bilateral pleural effusions , increased in size compared to the prior examination . Increased opacification in the medial right lower lung zone with obliteration of the right heart border reflects consolidation or atelectasis in the right middle lobe . There is mild vascular congestion . There is no pneumothorax .
    OUTPUT:
    
1 . Moderate cardiomegaly similar to the prior examination . 2 . Small - to - moderate bilateral pleural effusions , increased from the prior examination . 3 . Hazy opacification with obliteration of the right heart border may reflect atelectasis or consolidation in the right middle lobe .