Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear without focal opacity , pulmonary edema or pleural effusion . Minimal vascular congestion has improved since ___ . The small right pleural effusion is seen on the lateral view No pneumothorax . Cardiomegaly is moderate to severe . There are aortic knob calcifications . There is an endovascular aortic valve replacement and a cardiac pacer .
    OUTPUT:
    
Small right pleural effusion . Moderate to severe cardiomegaly . Clear lungs .