Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral radiographs of the chest depict bilateral small pleural effusions , left greater than right , which were not present on the most recent available comparison study from ___ . There is marked cardiomegaly , which also appears to be new from ___ . Multifocal peripheral opacities on both sides may represent a process involving the pleura , parenchyma , or both . There is no pneumothorax or pulmonary edema . Note is made of bilateral widening of the glenohumeral joint spaces , which may be indicative of rotator cuff laxity .
    OUTPUT:
    
1 . Bilateral pleural effusions , left greater than right . 2 . Moderate - to - severe cardiomegaly . 3 . Peripheral parenchymal or pleural opacities bilaterally . 4 . These findings appear to be new at least since ___ when the lung bases were visualized on the CT . Further evaluation with chest CT is recommended . 5 . Bilateral widening of the glenohumeral joint spaces may be indicative of rotator cuff laxity . Correlation with history and physical examination is recommended .