Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube has tip extending to 3 .3 cm above the carina . A right - sided central venous catheter sheath and enteric tube traversing inferiorly out of view appear unchanged . There has been interval removal of a Swan - Ganz catheter . There is overall marked increase in cardiac size as compared to four days prior , even allowing for underlying cardiomegaly would suspect possible development of a pericardial effusion . The right lung is relatively well aerated . The left upper lung now demonstrates increased ill - defined opacity , suggestive of a combination of evolving pulmonary consolidation superimposed on layering pleural effusion . The retrocardiac opacity persists , which could represent atelectasis versus consolidation . Median sternotomy wires are intact . Multiple clips are seen projecting over the heart , suggestive of prior CABG .
    OUTPUT:
    
1 . Significant interval enlargement of cardiac silhouette raises the question of pericardial effusion despite underlying cardiomegaly . 2 . More confluent left upper lobe consolidation with concurrent pleural effusion , concerning for evolving infection . Findings reported to Dr . ___ via phone at approximately 5 pm on ___ .