Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain well expanded and clear . There is no effusion or pneumothorax . The cardiac silhouette is normal in size . There is widening of the paratracheal stripe , and loss of the AP window , as well as hilar fullness consistent with known mediastinal and hilar lymphadenopathy .
    OUTPUT:
    
Mediastinal widening consistent with known lymphadenopathy . There is no acute change to suggest a large mediastinal hematoma .