Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided demonstrating interval significant increase in the size of the cardiac silhouette which were strong concern for development of a pericardial effusion . Also noted is mild pulmonary edema and small bilateral pleural effusions , right greater than left . Associated compressive lower lobe atelectasis is also likely present . No large pneumothorax . Bony structures are intact .
    OUTPUT:
    
Significant increase in cardiac size , raising strong concern for pericardial effusion . Please correlate with echocardiogram . Also noted is pulmonary edema with small bilateral pleural effusions .