Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided pigtail catheter is in similar position . The right - sided moderate pleural effusion is stable with associated consolidation . The heart is markedly enlarged , with increase in size and a more globular appearance when compared to the prior . No interstitial edema . No pneumothorax .
    OUTPUT:
    
Acute increase in size of cardiac shadow , could represent pericardial effusion or pericarditis in the appropriate clinical setting . Stable right moderate pleural effusion and consolidation .