Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiograph INCREASED MODERATE ENLARGEMENT OF THE CARDIAC SILHOUETTE DUE TO MODERATE CARDIOMEGALY AND / OR PERICARDIAL EFFUSION . There has been interval removal of a right - sided central venous catheter . Patient is status post CABG with intact sternal wires . There is a moderate left pleural effusion with adjacent atelectasis . Previously right pleural effusion is decreased in size . No focal opacity is identified concerning for pneumonia . No overt pulmonary edema is seen . Visualized osseous structures are without acute abnormality .
    OUTPUT:
    
Moderate left pleural effusion largely unchanged when compared to most recent study dated ___ . Interval increase , moderate cardiomegaly and / or pericardial .