Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal airspace consolidation to suggest pneumonia . There is no pneumothorax . There is likely a small trace left pleural effusion , unchanged . The heart size is enlarged , but unchanged from prior . Calcifications are noted . A left side AICD and coronary artery stent are again appreciated .
    OUTPUT:
    
Cardiomegaly with a small left pleural effusion and no overt signs of failure .