Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Marked cardiomegaly is unchanged . A loculated fluid collection in the left pleura is also unchanged . No new focal opacities are seen . Persistent left paramediastinal opacities are compatible with prior radiation changes . Surgical clips are seen at the level of the GE junction .
    OUTPUT:
    
Unchanged marked cardiomegaly and loculated left pleural effusion .