Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is severe cardiomegaly . As compared to prior chest radiograph , there has been interval increase of a small - to - moderate left pleural effusion . There is hyperinflation of the upper lung lobes , unchanged from prior examinations . There is no pulmonary edema . There are no focal consolidations concerning for pneumonia . There is evidence of kyphosis .
    OUTPUT:
    
1 . Interval increase of small - to - moderate left pleural effusion . 2 . No definite acute focal pneumonia .