Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A moderate left pleural effusion has enlarged since ___ . The right lung remains clear . There is no pneumothorax . Multiple intact sternal wires are again seen . The included views of the upper abdomen demonstrates a normal bowel gas pattern .
    OUTPUT:
    
1 . A moderate left pleural effusion has enlarged since ___ . 2 . Normal bowel gas pattern on included views of the abdomen .