Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is moderately enlarged with tortuous , mildly calcified thoracic aorta . Hilar contours are unremarkable . There is mild cephalization of pulmonary vasculature without frank interstitial edema . There is a moderate left - sided pleural effusion and a small right - sided effusion with adjacent compressive atelectasis . There is prominent anterior calcification of the pericardium suggestive of constrictive pericarditis . There is no pneumothorax .
    OUTPUT:
    
Moderate cardiomegaly , evidence of constrictive pericarditis with left moderate and small right pleural effusions . No overt pulmonary edema .