Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . There is no focal consolidation or pneumothorax . Blunting of the left costophrenic sulcus may be due to a small pleural effusion . Since ___ , the heart is much larger , raising the possibility of increased pericardial effusion , less likely cardiomyopathy . Pulmonary nodules are better assessed on CT ___ . Scarring in the right mid lung is again seen .
    OUTPUT:
    
1 . No pneumonia . Possible tiny left effusion . 2 . Short - interval increase in cardiac silhouette size from ___ raises the possibility of increased pericardial effusion , less likely cardiomyopathy . Findings discussed with Dr . ___ by phone at 11 :40 pm ___ .