Moderate to severe enlargement of the cardiac silhouette with left atrial enlargement noted. The possibility of an underlying pericardial effusion cannot be excluded. Echocardiography may be considered for further evaluation if clinically indicated. No signs of pulmonary edema or increased pulmonary vascularity are present.
Pericardial effusion (Uncertain) Edema (Absent) Cardiomegaly (Present)