Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . The heart appears moderately enlarged , increased from prior . There is a small right pleural effusion . No overt signs of edema . No convincing evidence for pneumonia . No pneumothorax . Bony structures are intact . The mediastinal contour is within normal limits . No free air below the right hemidiaphragm . Gaseous distention of the stomach noted .
    OUTPUT:
    
Cardiomegaly , progressed in the interval , small right pleural effusion . No edema or pneumonia .