Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC line ends at the cavoatrial junction . Cardiac silhouette is moderately widened by cardiomegaly and / or pericardial effusion . Pulmonary vascular congestion is attributable to a combination of left heart dysfunction and overcirculation due to chronic anemia , but there is no pleural effusion or azygos distension to indicate total body volume overload . Lungs are clear . Only one of the thoracic vertebral bodies show early H shaped configuration due to sickle cell disease and the spleen is not autoinfarcted ; is this patient homozygos for sickle cell disease ?
    OUTPUT:
    
Moderate cardiomegaly and possible pericardial effusion ( not hemodynamically significant ) . No focal consolidation .