Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph was obtained . Prominence of the right heart and mediastinum may reflect an enlarged aorta . Increased interstitial opacity in the lungs may reflect chronic pulmonary disease without focal consolidation , pleural effusion , or pneumothorax . Mild vascular congestion is seen , without overt edema . Mid right clavicular fracture is seen without evidence of additional bony injury , though if specific symptoms , dedicated rib views may be of help . Cardiac silhouette is top normal with a rounded retrocardiac opacity reflecting a moderate hiatal hernia .
    OUTPUT:
    
Enlarged mediastinum in the setting of syncope could reflect aortic pathology such as dissection and evaluation by CTA is recommended . This was discussed with ___ by Dr . ___ at ___ on ___ by phone .