Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Moderate enlargement of the cardiac silhouette is demonstrated . The mediastinal and hilar contours are unremarkable . No pulmonary edema is present . No focal consolidation or pneumothorax is present . Minimal blunting of the costophrenic sulci suggest trace bilateral pleural effusions . There are no acute osseous abnormalities .
    OUTPUT:
    
Moderate enlargement of the cardiac silhouette suggests cardiomyopathy . Possible trace bilateral pleural effusions .