Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is severe enlargement of the cardiac silhouette . The aorta is calcified and tortuous . There is a trace left pleural effusion and possible trace right pleural effusion . No pulmonary edema is seen . There is no pneumothorax . No focal consolidation to suggest pneumonia is identified . There is prominence of the central pulmonary arteries .
    OUTPUT:
    
Severe enlargement of the cardiac silhouette . No priors for comparison . Consider follow - up echocardiogram if this has not been previously assessed . Mild prominence of the central pulmonary vasculature may be due to underlying pulmonary hypertension . Trace pleural effusions .