Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Tripolar AICD is unchanged . Midline sternotomy wires is and mediastinal clips are again noted . The heart remains moderately enlarged . The mediastinal contour is stable . There is a small right pleural effusion which is new in the interval . The lungs appear clear without focal consolidation or edema . No pneumothorax . Bony structures are intact .
    OUTPUT:
    
Stable cardiomegaly . New small right pleural effusion .