Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac silhouette is moderately enlarged . Mediastinal contours are grossly similar to prior given differences in technique . No definite focal consolidation is seen . There is no pleural effusion or pneumothorax . No displaced fracture is seen although study has limited sensitivity for the detection of such .
    OUTPUT:
    
The cardiac silhouette is moderately enlarged . Mediastinal contours are grossly similar to prior given differences in technique . No definite focal consolidation is seen . There is no pleural effusion or pneumothorax . No displaced fracture is seen although study has limited sensitivity for the detection of such .