Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been a mild decrease in pulmonary effusion ; however , increased caliber of the azygos vein , increased cardiomegaly and mediastinal width is noted . There has been interval increase in left - sided pleural effusion . Intra-arterial balloon pump has been withdrawn so it no longer rests within the aortic arch . There are no areas of focal consolidation concerning for infection . There is no pneumothorax .
    OUTPUT:
    
Mild decrease in pulmonary edema with increase in cardiomegaly and mediastinal width . Recommend echo to rule out possible pericardial effusion .