Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is stable appearance of the large left pleural effusion with slight increase in the small right pleural effusion . The small left apical pneumothorax is slightly decreased in size . Again the heart size is difficult to evaluate due to overlying effusion . The large hiatus hernia is noted projecting over the left hemithorax . Pulmonary vascular congestion is stable .
    OUTPUT:
    
1 . Slight decrease in small left apical pneumothorax 2 . Stable large left pleural effusion and slight increase in small right pleural effusion .