Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographdemonstrates hypoinflated lungs with crowding of vasculature . No focal opacity . Small right pleural effusion . Small left pleural effusion is suspected , but no pneumothorax . The cardiomediastinal silhouette is enlarged . Mediastinal contour , and hila are otherwise unremarkable . Limited assessment of the upper abdomen is within normal limits .
    OUTPUT:
    
Enlarged cardiomediastinal silhouette . Recommend dedicated echocardiogram or CT to assess for pericardial effusion . Small left pleural effusion .