Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is enlarged in comparison to the prior examinations . Bilateral pleural effusions are present . Bilateral atelectasis is present . There is no pneumothorax . No definite focal consolidation is present . The patient has undergone interval kyphoplasty of several mid thoracic vertebrae .
    OUTPUT:
    
Increase in cardiac size silhouette may be seen in pericardial effusion or dilated cardiomyopathy , correlation with echocardiogram is recommended .