Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral radiograph of the chest demonstrates hyperinflated lungs with flattening of the diaphragms . Cardiac silhouette is markedly enlarged due to large pericardial effusion better seen on same day CT . There is no large right pleural effusion . Scarring at the lung apices noted .
    OUTPUT:
    
1 . Enlarged cardiac silhouette due to large pericardial effusion seen on same - day CT . 2 . Hyperinflated lungs .