Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The heart size is severely enlarged , similar to prior . Bilateral effusions are moderate on the left and small on the right . No focal consolidation or pneumothorax . Mediastinal contours are stable .
    OUTPUT:
    
Severe cardiomegaly . New bilateral pleural effusions , left greater than right .