Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate right pleural effusion is again seen , similar in size as compared the prior study , with overlying atelectasis . The left lung is clear . No pneumothorax is seen . Mediastinal contours are stable . Moderate to marked enlargement of the cardiac silhouette is stable . No overt pulmonary edema is seen although the pulmonary vessels appear mildly distended .
    OUTPUT:
    
Grossly stable moderate right pleural effusion with overlying atelectasis . Persistent enlargement of the cardiac silhouette . No overt pulmonary edema .