Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , large pleural effusion , pneumothorax , or pulmonary edema is detected on these views . There is blunting of the right costophrenic angle on lateral view , suggestive of a tiny pleural effusion . Heart size is persistently enlarged . The aorta is tortuous . Rightward intrathoracic tracheal deviation persists . Hiatal hernia is again seen . There may be right diaphragmatic eventration or hernia with relative elevation of the left hemidiaphragm , which appears new compared to prior . There has been interval increase in mild anterior wedging of a mid thoracic vertebral body .
    OUTPUT:
    
Possible tiny right pleural effusion and persistent cardiomegaly .