Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no radiographic evidence for focal consolidation , pleural effusion , or pneumothorax . New fissural density may represent atelectasis . Evidence of calcified mediastinal lymph nodes again seen . Cardiac silhouette is top normal to mildly enlarged . Spinal hardware appears similar .
    OUTPUT:
    
Top normal to mildly enlarged cardiac silhouette . No focal consolidation .