Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Mild cardiomegaly has been stable compared to the prior exams dated back to at least ___ . The patient is status post sternotomy , and coronary artery bypass graft surgery . The left single lead pacemaker is unchanged in position . No fracture of the wire is identified . A right - sided Port - A - Cath appears to terminate in the mid to low SVC . The hilar mediastinal contours are normal . No focal consolidations concerning for pneumonia are identified . Mild lingular and right basilar atelectasis is unchanged compared to the prior exam . Re demonstrated is a prominent right - sided epicardial fat pad . There is no pleural effusion or pneumothorax . A smooth , pleural based lesion is seen at the left lung apex , measuring 5 .1 - cm x 2 - cm , and appears more prominent compared to the prior exam from ___ .
    OUTPUT:
    
1 . No significant interval change in the position of the single lead pacemaker , projecting over the left hemi thorax . The course of the wire appears to be intact without evidence of fracture . No traumatic injuries identified . 2 . 5 .1 - cm smooth left apical pleural based lesion with possible underlying rib involvement , is new compared to the prior exam . A CT is recommended for further evaluation