Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest demonstrate new severe global enlargement of the cardiac silhouette , in a classic globular configuration suggestive of pericardial effusion . The azygos contour appears somewhat full . The lungs are clear . There is no pneumothorax , vascular congestion , or large effusion . Apparent anterior wedging in one of the lower thoracic vertebra appears new since ___ , but unchanged since ___ .
    OUTPUT:
    
Findings compatible with pericardial effusion , likely related to pericarditis as per clinical history . Findings reported to Dr . ___ by phone at 4 a .m . on ___ .