Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest views were obtained with patient in upright position . Analysis is performed in direct comparison with the next preceding similar study of ___ . Cardiac enlargement as before . Again calcifications are identified within the aortic valve area on the lateral view . Overall , heart size has not changed significantly ; however , the pulmonary vascular congestive pattern has improved markedly . The degree of pleural effusions has regressed significantly with only some mild blunting of the lateral and posterior pleural sinuses remaining . No evidence of new acute parenchymal infiltrates are present , and there is no evidence of pneumothorax in the apical areas . Similar as identified on the previous examination , there is a rounded approximately 2 cm diameter density in the right supra-apical soft tissue area which possibly may represent an enlarged lymph node or external skin lesion . It is remote from the pleural space and lung tissue .
    OUTPUT:
    
Significant improvement of previously identified acute pulmonary CHF pattern .