Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright PA and lateral radiographs of the chest were obtained . The lateral radiograph is somewhat limited by motion artifact and obscured by the patient 's arms . The lungs are normally expanded and clear . The heart is somewhat globular and slightly enlarged , new since ___ . Pulmonary vascularity is normal and symmetric without frank pulmonary edema . No pleural effusion or pneumothorax is detected . The aorta is somewhat tortuous and calcified at the arch .
    OUTPUT:
    
Newly enlarged and globular appearance of the heart is concerning for possible pericardial effusion . These results were telephoned to Dr . ___ ___ by Dr . ___ at 1 :35 p .m . , ___ .