Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is mildly enlarged . There is no focal consolidation , pleural effusion or pneumothorax . There is no pulmonary edema .
    OUTPUT:
    
Mild enlargement of the cardiac silhouette . Given lack of pulmonary edema , a pericardial effusion is a consideration and can be further assessed with echocardiogram .