Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen are bilateral pleural effusions , right greater than left , similar to prior exam in ___ . No new focal consolidation is identified . There is no pneumothorax . The heart size remains enlarged . Paucity of bowel gas is noted in the visualized abdomen .
    OUTPUT:
    
Stable appearance of bilateral pleural effusions , right greater than left , and cardiomegaly since prior exam in ___ . No new focal consolidation identified .