Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a moderate - sized left pleural effusion which is increased in size from the prior exam in ___ . There is no right pleural effusion . The lungs are clear without pulmonary edema , consolidation , or pneumothorax . A small calcified granuloma in the right mid - to - lower lung zone is unchanged from prior exams . The cardiac size is mildly enlarged , unchanged from prior exams . Mediastinal contours are normal . The aorta is tortuous with mild calcifications . Degenerative changes of the lower thoracic and upper lumbar spine are unchanged .
    OUTPUT:
    
1 . Enlarging moderate left pleural effusion . 2 . Stable right calcified granuloma . 3 . Stable mild cardiomegaly .