Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild cardiomegaly , stable compared to exams dating back to ___ . The hilar and mediastinal contours are stable . Again seen are additional pulmonary nodules , better assessed on the prior CT chest from ___ . The previously noted left lower lung nodule appears to persist , however , appears to have decreased in size and could likely be secondary to the pleural effusion . No new focal consolidations concerning for pneumonia are identified . No definite pleural effusions or pneumothoraces are identified .
    OUTPUT:
    
No new focal consolidations concerning for pneumonia are identified . Persistent left lower lung nodule , for which a dedicated Chest CT would be recommended . These findings were discussed with Dr . ___ by Dr . ___ by telephone on the day of the exam at 1 ___m .