Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable . The heart is enlarged as before . Median sternotomy wires are demonstrated . A left internal jugular catheter is stable . A right - sided pacer and leads are in unchanged position . A layering left pleural effusion is minimally increased from the prior examination . Bibasilar subtle opacities are demonstrated and suggest atelectasis . There is increasing pulmonary edema from the prior exam . There is a presumed persistent pericardial effusion , better seen on the CT from ___ .
    OUTPUT:
    
Left pleural effusion is moderately increased from the prior study . Increasing pulmonary edema . Increasing left pleural effusion in the setting of a pericardial effusion and recent cardiac surgery is concerning for post pericardiotomy syndrome .