Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Patient is status post median sternotomy wires are intact and properly aligned . Lungs are well inflated and grossly clear . No pneumothorax . A moderate left pleural effusion is worsened . Hilar contours are normal . Moderate cardiomegaly is unchanged .
    OUTPUT:
    
1 . Moderate left pleural effusion is worsened from ___ . 2 . Moderate cardiomegaly is unchanged from ___ .