Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Overall no substantial change of the right - sided effusion and adjacent rounded opacity . Ground - glass opacities superior to the rounded opacity have slightly increased . Small left effusion is also stable . No over pulmonary edema . Moderate cardiomegaly . No pneumothorax .
    OUTPUT:
    
Overall no substantial change of the right - sided effusion and adjacent rounded opacity