Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette has increased in size now moderately enlarged with a globular configuration raising the possibility of pericardial effusion . There is minimal blunting of the left costophrenic angle consistent with a small pleural effusion . No focal consolidation or pneumothorax . Pulmonary vascularity is in normal limits .
    OUTPUT:
    
Increase in size in the cardiac silhouette now moderately enlarged with a globular configuration concerning for a pericardial effusion . Recommend correlation with echocardiogram . No pulmonary edema