Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs again demonstrate a vascular stent and surgical clips . Moderate to severe cardiomegaly is unchanged . There is no definite focal consolidation . Pleural and parenchymal scarring have been more fully evaluated by CTA of the chest of ___ . A small right pleural effusion is seen . There is no appreciable pneumothorax . The visualized upper abdomen is unremarkable . Rightward deviation of the trachea is consistent with left lobe thyroid enlargement .
    OUTPUT:
    
No definite focal consolidation . Small right pleural effusion .