Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest demonstrate low lung volumes . No focal consolidation or pneumothorax . Again seen minimal blunting of costophrenic angles , probable pleural thickening . The aorta is generally large , very tortuous , but stable in appearance longterm . Moderate to severe enlargement of the cardiac silhouette is also chronic due to a combination of cardiomegaly and pericardial effusion .
    OUTPUT:
    
Stable moderate cardiomegaly , some pericardial effusion , generally large and tortuous aorta .