Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is moderate enlargement of the cardiac silhouette . Prominence of the interstitium with fluid seen in the major fissures is consistent with chronic mild fluid overload . There is no pneumothorax or focal airspace consolidation . The hilar and mediastinal contours are unremarkable .
    OUTPUT:
    
Moderate enlargement of the cardiac silhouette which may reflect a pericardial effusion . These findings were discussed with Dr . ___ by Dr . ___ at 5 :00 on ___ by telephone at time of discovery .