Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Cardiomegaly is again noted unchanged . There is a small right pleural effusion with blunted CP angle on the right . Otherwise the lungs are clear . Dextroscoliosis T - spine again noted .
    OUTPUT:
    
Mild cardiomegaly and small right pleural effusion , unchanged .