Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semisupine frontal radiograph of the chest demonstrates stable severe cardiomegaly . The large left pleural effusion is not significantly changed from 2 hours prior but increased from ___ . A small right effusion is unchanged . Enlargement of the bilateral hila was demonstrated to be due to dilated pulmonary arteries on the previous CT . Mild pulmonary pulmonary edema is new . No pneumothorax .
    OUTPUT:
    
Stable severe cardiomegaly with increased large left pleural effusion and mild pulmonary edema . It is unusual to have a unilateral left effusion when the patient has previously had right sided effusions and causes such as pericarditis , pancreatitis or a left upper quandrant process should be considered . Telephone notification to regarding change from wet read to Dr ___ by Dr ___ at 9 :20 ___ .