Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable semi supine frontal chest radiograph again demonstrates a cardiomegaly , unchanged . There is mildly improved aeration of the bilateral lung , with persistent bilateral small pleural effusions and associated atelectasis . There is no new focal consolidation or pneumothorax .
    OUTPUT:
    
Mildly improved aeration with persistent small pleural effusions and associated atelectasis bilaterally . No new focal consolidation .