Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the most recent prior radiograph , there is stable moderate cardiomegaly and development of a small right pleural effusion . There is no focal consolidation or pneumothorax . The lungs appear better expanded than on the prior radiograph . Multiple left - sided rib fractures seen on outside hospital CT torso are not clearly seen on this radiograph .
    OUTPUT:
    
No evidence of pneumothorax . Small right pleural effusion .