Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation , pleural effusion or pneumothorax . Small bilateral pleural effusions have decreased since the prior exam . Severe cardiomegaly is unchanged . The imaged upper abdomen is unremarkable .
    OUTPUT:
    
1 . Small bilateral pleural effusions . 2 . Severe cardiomegaly .