Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi erect frontal portable chest radiograph shows stable chronic severe cardiomegaly . The lungs are grossly clear . No evidence of pneumothorax . A transvenous left subclavian pacer is identified with its tip in standard position . A Swan - Ganz catheter is in place with its tip projecting over the proximal right pulmonary artery . There is an ill defined opacity which projects above the right hilum and possibly corresponds to opacity identified on Chest CT dated ___ and partially seen on CT dated ___ . Would recommend repeat CT to exlude possibility that this may represent neoplastic lesion .
    OUTPUT:
    
1 . No interval change from prior radiograph dated one day prior . No pnuemothorax . 2 . Ill defined opacity projecting above right hilum which possibly correlates with opacity seen on Chest CT ___ . Would recommend repeat Chest CT to exclude neoplastic etiology . These findings were communicated to the ordering physician vi ___ critical findings portal at 11 :52 on ___ at the time findings were discovered .