Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . The lungs are clear of confluent consolidation , effusion , or pulmonary vascular congestion . There is moderate - to - severe enlargement of the cardiac silhouette . Mild compression deformity is seen in the mid thoracic spine which is age indeterminate .
    OUTPUT:
    
1 . Enlargement of the cardiac silhouette which may be due to cardiomegaly , although pericardial effusion is also possible . Consider echocardiogram . 2 . Mild height loss of a mid thoracic vertebral body , age indeterminate and clinical correlation is suggested .