Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased interstitial markings are seen and there is some fluid in the fissure on the right . The heart is rather substantially enlarged for a patient of this age . Although this may represent myocardial enlargement pericardial effusion can not be excluded . Monitor leads overly the chest .
    OUTPUT:
    
Cardiomegaly . Interstitial edema . Case discussed with Dr . ___ at 08 :45 .