FINDINGS:
The cardiac silhouette is markedly enlarged with a globular morphology,
 raising the possibility of a pericardial effusion.  There is prominence of the
 perihilar vessels with vascular congestion but no overt edema.  No pleural
 effusion or pneumothorax.  No focal consolidation.

IMPRESSION:
Globular enlargement of the heart which raises concern for pericardial
 effusion.  Vascular congestion without overt edema.
 
 RECOMMENDATION(S):  Cardiology consult, echocardiogram to assess for
 pericardial effusion.