Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate cardiomegaly has increased in size compared to the most recent prior exam , raising concern for worsening cardiomegaly or a pericardial effusion . The hilar and mediastinal contours are normal . There is no large pleural effusion or pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
Interval increase in the size of the heart raises concern for worsening cardiomegaly or a pericardial effusion . Recommend echocardiography for further evaluation . ___ findings d / w Dr . ___ by Dr . ___ by phone at ___ :___ A on the day of the exam by phone .