Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in semi-upright position . Comparison is made with the next preceding similar study of ___ . The findings are stable . Thus moderate cardiomegaly is seen . As before , bilateral pleural effusions blunt the lateral pleural sinuses and obscure major portions of the diaphragms . In comparison with the previous study , the pleural effusion on the right side has increased as much as this reaches now the apical area . Bilaterally existing pulmonary patchy infiltrates as before .
    OUTPUT:
    
Grossly stable chest findings possibly some increased right - sided pleural effusion . The portable chest examination can not be expected to give more detailed differential diagnostic results .