Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung fields are wall inflated and clear . There is no pleural fluid or pneumothorax . The heart size is top normal and enlarged since last CXR . There are aorta profile is slightly elongated , but normal .
    OUTPUT:
    
Slight enlargement of cardiac silhouette , if clinically correlated , cardiology consultation is recommended . Dr ___ , ___ ___ been paged by Dr ___ . to report chest findings at 4 .___ pm .