Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well expanded and clear . The cardiac size is enlarged , which is particularly evident in the lateral view , raising concern for pericardial effusion . No pleural effusion or pneumothorax is identified .
    OUTPUT:
    
Enlarged cardiac size paticularly prominent in the lateral view raises concern for pericardial effusion . No focal parenchymal opacities identified . A change in the impression after attending review was communicated via e-mail to the ED QA nurse for communication to the ___ physician of the patient by Dr ___ on ___ at 7 :55 am .