Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette past increased in size in comparison to the chest x-ray dated ___ . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . There are moderate right and small left pleural effusions . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Increasing size of the cardiac silhouette , which in a patient with a known pericardial effusion is concerning for increasing pericardial fluid . 2 . Moderate right and small left pleural effusions with adjacent basilar atelectasis and or consolidation .