Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Suboptimal inspiratory effort . Cardiomegaly . No overt features of cardiac decompensation . No airspace consolidation . No areas of oligemia . No bullous lung disease . Small pleural effusions . Left axillary stent in situ . No hilar adenopathy . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Cardiomegaly . As reported on previous cardiac echo , it may be secondary to left ventricular hypertrophy and a small circumferential pericardial effusion . Small pleural effusions . No areas of airspace consolidation or oligemia .