Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with a portable chest examination ___ ___ and a PA and lateral chest examination of ___ . The previously diagnosed enlargement of the heart silhouette has normalized completely and the heart size and configuration is now within normal limits . The thoracic aorta is mildly widened but does not show any local contour abnormalities or advanced walled calcifications . The pulmonary vasculature is not congested . No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free . No pneumothorax in the apical area . Skeletal structures of the thorax grossly within normal limits . In comparison with the previous examination the earlier identified cardiac enlargement and presence of bilateral pleural effusions mostly on the left side have cleared up completely . Also at the examination of ___ identified pulmonary vascular upper zone re-distribution pattern has normalized . The chest examination does not demonstrate any new acute abnormality or any suspicious lesion that might be the cause of the patient 's weight loss . As identified on previous examination there is evidence of previous abdominal surgery with multiple surgical metallic clips in the right upper quadrant , probably gallbladder surgery .
    OUTPUT:
    
Normalization of previously identified enlargement of the cardiac silhouette related to pericardial effusion . No pulmonary congestion . No evidence of manifest or suspicious new pulmonary abnormalities .