Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiograph shows well - inflated lung without consolidation or nodules . Much larger heart shadow than in ___ might is due to pericardial effusion or cardiomyopathy . Pulmonary vasculature is engorged but mediastinal veins are not distended . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
New enlargement of the cardiac silhouette is due to pericardial effusion and / or cardiomyopathy . Findings were reported to Dr ___ at 12 .___ by Dr ___