Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate loculated right pleural effusion , slightly different in distribution from ___ . Moderate cardiomegaly and pulmonary vascular congestion is unchanged from ___ . Again noted are median sternotomy wires , mitral valve replacement , and tricuspid valve repair . The right PICC terminates in the mid SVC .
    OUTPUT:
    
1 . Moderate loculated right pleural effusion . 2 . Mild vascular congestion , unchanged from ___ .