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 is blunting of the costophrenic angles suggestive of trace effusions . Apparent increased density projecting over the right upper lung laterally thought to be in part due to rotation and a superimposed pleural thickening in the setting of multiple old posterior and lateral rib fractures . Cardiac silhouette is enlarged , but stable in configuration . Post - kyphoplasty changes are seen in the lower thoracic level as well as compression deformity in the mid thoracic spine , unchanged from CTPA from ___ .
    OUTPUT:
    
Small bilateral effusions on the right . Cardiomegaly without definite acute cardiopulmonary process .