Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Significant increase in cardiomegaly is concerning for hemopericardium . There has been slight increase in bilateral pleural effusion with increase in right hilar prominence and right - sided atelectasis . There has been interval extubation of the patient . Swan - Ganz catheter is seen in place , now advanced into the right pulmonary artery . There are stable low lung volumes with no evidence of new pneumothorax .
    OUTPUT:
    
Interval increase in cardiomegaly concerning for hemopericardium . Echocardiogram is recommended to further evaluate this finding . These findings were reported to physician assistant , ___ at 12 :09 p .m . by ___ via phone .