Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ at 12 :08 is submitted .
    OUTPUT:
    
The heart is enlarged which may reflect cardiomegaly or pericardial effusion . Clinical correlation is advised . There is retrocardiac consolidation , which given its focality , would be concerning for pneumonia or aspiration rather than atelectasis . There is also an associated small left layering effusion . No evidence of pulmonary edema . No pneumothorax .