Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest are compared to previous exam from ___ . There are small bilateral pleural effusions . The lungs , however , remain clear of consolidation or evidence of pulmonary edema . Cardiac silhouette is enlarged when compared to prior , given differences in positioning and technique . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
Cardiomegaly , which appears to have progressed since ___ . New small bilateral pleural effusions .