Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal radiograph of the chest demonstrates interval widening of the cardiomediastinal silhouette , suspicious for pericardial effusion . There is also persistence of the previously seen left pleural effusion . There is no pulmonary edema or pneumothorax . The radiograph is otherwise unchanged compared to prior study .
    OUTPUT:
    
Interval widening of the cardiomediastinal silhouette , suspicious for pericardial effusion . Recommend echocardiogram for further evaluation . Persistence of previously seen left pleural effusion . Otherwise , unchanged since prior study . The above findings were communicated to ___ via page by Dr . ___ at 10 :55 , 5 minutes after discovery was made .