Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Heart size is moderately enlarged compared to ___ . There is mild interstitial edema . Small bilateral pleural effusions . No focal consolidation . No pneumothorax .
    OUTPUT:
    
Interval development of moderate cardiomegaly with mild interstitial edema , which could reflect onset of dilated cardiomyopathy or pericardial effusion . Small bilateral pleural effusions . Recommend echocardiography for further evaluation .