Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is top - normal . Mediastinal lymphadenopathy is better seen in prior CT . Large right and small left effusions are unchanged . Multiple lung nodules are better seen in prior CT . Surgical clips project in the left upper hemi thorax . Patient has known emphysema . There is minimal asymmetric vascular congestion on the right .
    OUTPUT:
    
Minimal asymmetric right vascular congestion is stable . Bilateral effusions , mediastinal lymphadenopathy and lung nodules better seen in prior CT