Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Widening of the mediastinum up to 12 cm is unchanged since ___ . Left moderate loculated pleural effusion is unchanged since ___ but increased since ___ where hemorrhagic pleural effusion can not be excluded . Right small pleural effusion has slightly increased . There is no pneumothorax . The right jugular line ends in the lower SVC .
    OUTPUT:
    
Patient had recent aortic aneurysm repair . Mediastinal enlargement is unchanged since ___ . Left loculated pleural effusion is unchanged since ___ but worst than ___ where a hemorrhagic component can not be excluded .