Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are stable , with enlarged cardiac silhouette , worrisome for pericardial effusion . A left chest wall AICD device is seen with leads in expected position of the right atrium and right ventricle . Bilateral small pleural effusions are seen , with compressive bibasilar atelectasis . No consolidation , pulmonary edema or pneumothorax is seen .
    OUTPUT:
    
Enlarged cardiac silhouette , worrisome for pericardial effusion . Bilateral small pleural effusions .