Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is enlarged , unchanged . Mediastinum is stable . Pleural calcifications , a left upper lobe calcified granulomas and mild vascular congestion is are unchanged
    OUTPUT:
    
Heart size is enlarged , unchanged . Mediastinum is stable . Pleural calcifications , a left upper lobe calcified granulomas and mild vascular congestion is are unchanged