Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Severely enlarged cardiac silhouette is again seen . Small left greater than right pleural effusions remain . Mediastinal and hilar contours are similar . No displaced fracture is seen .
    OUTPUT:
    
1 . No displaced fracture , however , if clinical concern for fracture persists of the ribs , suggest dedicated rib series , which is more sensitive . 2 . Persistent severe enlargement of the cardiac silhouette and small bilateral pleural effusions .