Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were reviewed . Moderate enlargement of the cardiac silhouette , due to increased heart size or pericardial effusion , has progressed over one The mediastinal and hilar contours are otherwise unremarkable . There is no pleural effusion or pneumothorax . The lungs are well expanded and clear . No nondisplaced rib fractures are seen . Surgical clips are again seen in the right axilla .
    OUTPUT:
    
No pneumothorax or rib fractures . New cardiomegaly and / or pericardial effusion .