Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild to moderate enlargement of cardiac silhouette appears similar compared to the previous exam . The mediastinal and hilar contours are stable , with unchanged widening of the right paratracheal stripe compatible with known lymphadenopathy . There is no pulmonary edema . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . There are multilevel degenerative changes in the thoracic spine . Surgical anchor is visualized within the left humeral head .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Unchanged mild to moderate cardiomegaly and widened right paratracheal stripe compatible with underlying lymphadenopathy .