Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs were obtained . Moderate bilateral pleural effusions are similar in size since ___ . Moderate to severe cardiomegaly is unchanged . Extensive mitral annular calcifications and aortic arch calcifications are unchanged . A partially fluid - filled hiatal hernia is stable .
    OUTPUT:
    
Stable appearance of severe cardiomegaly and bilateral pleural effusions since ___ . Findings were discussed with Dr . ___ ___ telephone on ___ .