Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is top - normal and there are no findings specifically to rule out pericardial effusion . There is no pulmonary vascular congestion or pulmonary edema . Lungs are clear without focal consolidations or atelectasis . No pleural abnormalities .
    OUTPUT:
    
Top normal heart size without any findings specific for or against pericardial effusion . Recommend echocardiogram for further evaluation if clinical suspicion persists .